DLGE

CDM NOTIFICATION

Form F10 - Notification of project

Note

This form can be used to notify any project covered by the Construction (Design and Management) Regulations 2003 that will last longer than 30 days or 500 person days. It can also be used to provide additional details that were not available at the time of initial notification of such projects.
The form should be completed and sent to the HSWI Office using the submit button below. You will receive an acknowledgement by e-mail following submission. You may also wish to print a copy of the submitted form for your records.
It is also possible to submit a completed form by printing it off, and sending it to the following address - Health and Safety at Work Inspectorate, Murray House, Mount Havelock, Douglas IM1 2SF.
You should submit a form as soon as possible after the planning supervisor is appointed to the Project. Please note also that the form can be used by contractors working for domestic clients. In this case, Part 3 of the Form should be disregarded.

1. Is this the initial notification of this project or are you providing additional information that was not previously available.

Initial notification

Additional notification

2. Client details:

Number of clients
123

First Client
Name:
Contact:
Telephone Number:
Fax Number:
Address:
Postcode:

Second Client

Name:
Contact:
Telephone Number:
Fax Number:
Address:
Postcode:

Third Client

Name:
Contact:
Telephone Number:
Fax Number:
Address:
Postcode:

3. Declaration of planning supervisor

I hereby declare that has been appointed as planning supervisor for the project.

Planning Supervisor details:

Contact:

Address:

Telephone Number:

Fax Number:

Postcode:

Organisation:

Date:

4. Declaration of principal contractor

I hereby declare that has been appointed as principal contractor for the project.

Principal Contractor: (or contractor when project for a domestic client):

Contact:

Address:

Telephone Number:

Fax Number:

Postcode:

Organisation:

Date:

5. Address of site where construction work is to be carried out:

Address:

Postcode:

6. Please give your estimate of the following project details:

Please indicate if these estimates are original

or revised

a. The planned date for the commencement of the construction work

b. How long the construction work is expected to take (in weeks)

c. The maximum number of people carrying construction work on site at any one time

d. The number of contractors expected to work on site

7. Please give brief details of the type of construction work that will be carried out:

8. Name, address and postcode of the contractors who have been chosen to work on the Project

Number of contractors
12345678

First Contractor
Name:
Address:
Postcode:

Second Contractor

Name:
Address:
Postcode:

Third Contractor

Name:
Address:
Postcode:

Fourth Contractor

Name:
Address:
Postcode:

Fifth Contractor

Name:
Address:
Postcode:

Sixth Contractor

Name:
Address:
Postcode:

Seventh Contractor

Name:
Address:
Postcode:

Eighth Contractor

Name:
Address:
Postcode:

9. Contact Email

Email:

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