SG4:15 Regulation Scaffolding Handing-Over Certificate

Contractor

Depot

Site

Date

Time

Inspection Carried Out By:

Description of Section Handed Over

Scaffold as described above has now been completed in accordance with client requirements. It is structurally sound and should be used in accordance with the handing over certificate.

Quotation No:

Drawing Ref/Design Standard:

Type Of Ties

Number Of Ties

Have Ties Been Tested?
YesNoN/A
Scaffolding Must Only Be Used For

Loading To Be
Working Lifts
Distributed Load Of
kN/m2
And Working Lifts @ kn/M2
Inside Boards
kN/m2
Is The Scaffolding Protected with the "Big Ben" Scafflock anti-tamper System
YesNo
Has the scaffold been tested to take tarpaulins/sheeting/netting or other wind sails?
YesNo

Have the detailed requirements of the SG4:15 regulations and any other applicable legislation been complied with?YesNo
If NO the reason is?

Details of any further action required?

Contractors Name
Date
On Behalf Of Cambrian Scaffolding
Customers Name
Date
Customers Email Address: