GD04 Handover Certificate

• Company Name

• Location
  Address

• Project Title

• Contract Number

• Date and Time

  Date

• Prepared by

Scaffolding – Handing Over Certificate

• To (Contractor)

• Description of scaffold or section of scaffold handed over

• Drawing no. (where applicable)

• Scaffolding, as described above, has now been completed and complies with the Work at Height Regulations and current standards. It is structurally sound and should only be used and loaded in accordance with our quotation number

• Use only for

• Loading to be

• working lifts with distributed load of (kN/M² lbs/ft² per lift)

Completion

• The detailed requirements of the regulations with regard to guard-rails, working platforms, toe-boards, bracing and ties have been complied with.
  
  In order to comply with the regulations, this scaffold must be inspected before being taken into use for the first time, at regular intervals not exceeding seven days since the last inspection, after any event likely to have jeopardised the safety of the scaffold and after any substantial addition, dismantling or other alteration. Particulars of each inspection must be recorded in a report of inspection.

• This scaffold has been designed to take tarpaulin sheets (or other windsails)

  Yes

  No

  N/A

• Scaffold Contractor (Name and Signature)

  Sign

• Position

• Certificate Received on Behalf of the Contractor (Name and Signature)

  Sign

• Position