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KD-CDM-NA-005
Notification Assessment and Record
The reg 6 arithmetic and the recorded decision — notifiable or not, and why — with the F10 particulars when it is, re-assessment lines for when the programme grows, and the domestic-client twist stated.
1 page · 28 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 1 — click to enlarge
Read all 1 page first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- CDM 2015 regs 6 and 7
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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