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DISMANTLE & SITE CLEARANCE FORM

Confirm safe teardown and note any damages.

Add Your Company Name
Add Your Email Address
Add Your Phone Number
Add Your Address

Contact Information

First Name *

First name input

Enter your first name

Surname *

Surname input

Enter your surname

Email *

Enter your email address

Phone Number *

Enter your phone number

Job Details

Job Reference Number *

Enter job reference number

Site Location *

Enter complete site address

Clearance Date *

Select date...

Start Time *

Select time...

End Time *

Select time...

Team Size *

Enter number...

Enter number of team members

Dismantle Details

Equipment Dismantled *

List all equipment that was dismantled

Dismantle Method *

Select option --

Options: Manual, Mechanical, Crane Assisted, Heavy Machinery

Safety Compliance

Safety Procedures Followed *

Yes - All procedures followed

No - Some deviations noted

Any Safety Incidents *

No incidents

Minor incident - reported

Major incident - reported

Incident Details (if applicable)

Describe any safety incidents or deviations

Damage Assessment

Structural Damage Identified *

No damage

Minor damage noted

Significant damage noted

Property Damage *

No property damage

Minor property damage

Major property damage

Damage Description

Describe any damage identified

Damage Photos

Upload image...

Upload photos of any damage

Site Clearance

Materials Removed from Site *

List materials taken from site

Waste Disposal Method *

Select option --

Options: Recycling facility, Licensed waste disposal, Client retained, Returned to depot

Final Site Condition *

Select option --

Options: Fully cleared and clean, Cleared with minor debris, Cleared - client to complete, Partially cleared - return required

Site Access Restored *

Yes

No

Tick if all access routes have been restored to original condition

Utilities Checked & Safe *

Yes

No

Tick if all utilities have been checked and made safe

Additional Information

Additional Notes

Any additional observations or notes

Follow-up Required *

No follow-up needed

Return visit required

Client action required

Warranty issue

Approval

Supervisor Signature *

Digital signature field

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