Title Page
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Inspected by
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Date
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Scaffolding Sub-Contractor
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Full Property Address
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Does the Property need a Design Scaffold?
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Comment
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Date when Design will be Submitted
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Is the Front and Rear Elevation of the Property ready for Scaffold/Free of any Obstruction?
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Comment
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Are there any Overhead Obstructions?
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Comments
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Are there any Additional Obstructions? (Conservatories, Canopies, Car Ports, etc.)
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Comments
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Agree Lift Heights (M)
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Additional Comments
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Ladder Position
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Are there any Encroachments of Scaffold onto Adjoining Properties?
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Comments
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Is a Party Wall Agreement Required?
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Comment
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Is there a Party Wall Agreement in Place?
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Have Photos been taken of Each Elevation?
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Comments/Observations
Signature
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Signed
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Print Name
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Signed Sub-Contractor
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Print Name
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Date
