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Builders Risk v2.2

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GENERAL INFORMATION
Inspection Date *
- Month
- Day
- Year
Project Description (generally what is being done): *
The date the project started or is expected to start *
- Month
- Day
- Year
Has the construction begun *
- Yes
- No
Expected Completion Date *
- Month
- Day
- Year
Describe the work completed so far (work milestones - details of the progress made to date) *
Describe the work still to be completed (work milestones - details of the remaining work) *
Are Contractors On-Site and Working Daily Toward Completion (Tip: the UW does not want to be insuring a vacant building - The UW wants to know that things are moving forward at a reasonable pace) *
- There are contractors and/or the GC is on-site daily
- There is little activity going on
How far along is the Project? Percent Complete. *
Expected cost of the final construction $ *
Area (in sf) of renovation within the Original Building *
Area (in sf) of renovation Additional to the Original Building *
Total Area of the renovation *
Is this a Ground Up Construction *
- Yes
- No
Number of buildings in this project *
Is this a modular construction project *
- Yes
- No
Name of General Contractor *
General Contractor: Years doing this Type of Construction *
- Less than 2 years
- 2 - 5 years
- 5 - 10 years
- 10 - 15 years
- 15 - 20 years
- More than 20 years
- Unavailable
Address of General Contractor *
General Contractors Website *
Contact Person and contact information for the person interviewed *
General Contractor: Any past, pending, or planned Bankruptcy or judgment for unpaid taxes *
- Yes
- No
Entity or name and title of the person involved *
The actual or planned date of the filing / judgment *
- Month
- Day
- Year
Has the General Contractor been cited for any OSHA violations in the last 4 years *
- Yes
- No
Describe the violation(s) *
OPERATIONS
Has a plot plan been attached to the report (a plot plan is required for projects of more than $10M) *
- Yes
- No
Proper removal of trash/refuse daily at jobsite *
- Yes
- No
Comment on the improper disposal of trash *
Does the General Contractor have a written "No Smoking" policy *
- Yes
- No
Comment about any "No Smoking" policy (Not a written policy but no smoking allowed, No policy, etc.) *
Rate the jobsite housekeeping on a scale of 1 to 5 *
- 5 - A very well kept jobsite
- 4 - An above average jobsite
- 3 - An adequately kept jobsite
- 2 - An below average jobsite
- 1 - A very poorly kept jobsite
Comments on the Housekeeping *
Does the General Contractor have a written safety program in place compliant with OSHA 29 CFR/1910 *
- Yes
- No
Comments on any Safety program *
Does the General Contractor have a job site risk manager *
- Yes
- No
What is the name of the risk manager *
How often does the risk manager visit the site *
Is there a building permit *
- Yes
- No
Building permit number *
Explain why there is no building permit *
Is the General Contractor Licensed *
- Yes
- No
License Number *
Explain why the General Contractor is not licensed *
How are tools and materials stored (check all that apply) *
- Under tarps at night
- Locked in tool boxes
- In locked sheds
- In sheds
- Left out in the yard
- Within a locked Fence
- Locked within the main building
- Other:
Other storage *
How often is debris cleaned up and removed from the site (click all that apply) *
- The site is cleaned up once a day
- The dumpsters are emptied each week
- The site is NOT cleaned up each day
- The dumpsters are emptied once a day
- The site is cleaned up more than once a day
EXPOSURES AND CONTROLS
Is the project on filled land *
- Yes
- No
Explain about the landfill (what was it before the landfill, how long ago was the land filled, what was used to fill the land, etc.) *
Any Structural Work Being Performed (Tip: Structural work affects the bearing walls and any new additions to the area of the building.) *
- Yes
- No
Describe the Structural Work *
Is the construction lift slab, tilt up, or have open atriums equaling 3 stories or more *
- Yes
- No
Explain special construction techniques and/or tall atriums *
Does the project include any tandem crane lifts, high values being lifted by a single crane, underground or waterborne exposures *
- Yes
- No
Explain unusual exposures for the construction *
Does the scope of the project include work on antennas; chemical plants; bridge; tunnel; bubble building; greenhouse; waste water facility; petroleum or energy co-generation facility; tanks; radio,... *
- Yes
- No
Explain unusual exposures *
Are pilings used *
- Yes
- No
Explain what circumstances require pilings to be used *
Is blasting required for this project *
- Yes
- No
Explain what circumstances require blasting to be done *
If the water is ON in the building, Is the temperature controlled to 60 degrees or warmer *
- Yes
- No
- N / A
If temporary Heaters are used, are they all UL approved *
- Yes
- No
- N / A
Do all temporary heaters have TIP OVER protection *
- Yes
- No
- N / A
The date the building is expected to be weather tight *
What is being done to protect the building until it is weather tight *
PROTECTION
Is site protected by a fence *
- Yes
- No
What type of fence (check all that apply) *
- Chainlink Only
- Chainlink topped with barbed or razor wire
- Wood fencing
- No fence
- Other
Describe other fencing *
Will a watchman be on premises during non-working hours *
- Yes
- No
Comment on the watchman *
Is the project area locked and secured during non-working hours *
- Yes
- No
Describe how the site is secured *
Are building materials protected from theft at jobsite *
- Yes
- No
Describe the protection of the building materials *
Does the project require areas to use portable/temporary heat *
- Yes
- No
Please describe the temporary heat *
Are there adequate precautions during welding *
- Yes
- No
Describe the deficiencies in the welding precautions *
Are there adequate security light/flood lights in place (photos of security lights required if any) *
- Yes
- No
Name of the person (name or title) that closes up the building and locks the fence gates each night *
Is there a Sprinkler system *
- Yes
- No
Is the Sprinkler system ever shut off for any reason *
- Yes
- No
Shut off for what reason *
NARRATIVE
Have there been any Losses or Claims *
- Yes
- No
Describe the Losses and/or Claims *
Are there any unusual hazards *
- Yes
- No
Please describe hazards *
Comments and Narrative *

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