Civils Handover Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

LOC

• Longitudinal Setting Out

  Yes

  No

  N/A

• Lateral Offset

  Yes

  No

  N/A

• Handrail

  Yes

  No

  N/A

• Guardrail

  Yes

  No

  N/A

• Retaining Wall

  Yes

  No

  N/A

• Correct No. Of Bases

  Yes

  No

  N/A

• Black Top adequate

  Yes

  No

  N/A

• Correct T and sub-route

  Yes

  No

  N/A

• Holding Down Bolt Holes correct

  Yes

  No

  N/A

• Earth Pot installed

  Yes

  No

  N/A

• Earth braid present

  Yes

  No

  N/A

Staging

• Staging Landing Installed

  Yes

  No

  N/A

• Ladder Installed

  Yes

  No

  N/A

• Firebox Installed correctly

  Yes

  No

  N/A

• Firebox Connection Installed

  Yes

  No

  N/A

• Flowforge installed correctly

  Yes

  No

  N/A

• Staging Level/Square

  Yes

  No

  N/A

• Self Closing Gate functioning properly

  Yes

  No

  N/A

General

• General Comments

• Overall Condition Photo

  Media

• Safe to Climb

  Yes

  No

  N/A

• Safe to Load

  Yes

  No

  N/A

• Signature

  Sign