Title Page

  • Client Name

  • Client Name

  • Address
  • Location

  • Date and Time

  • Prepared by

Handover

  • Description/Plot Number of section handed over:

  • Lift Number

  • Lift Number

  • Drawing No./TG20:21 Compliance Sheet Ref:

  • Load Class

  • Loading Of

  • Type of Ties:

  • No. of Ties:

  • No. of Ties Tested:

  • Location of Ties:

  • Have ties been tested?

  • Test load applied (kN/m2)

  • The scaffolding as described above has now been completed in accordance with client requirements. It is structurally sound and should only be used and loaded in accordance with this handing over certificate.

  • Load to be 1 working lift @ (state below) kN/m2 & 1 working lift (state below) kN/m2.

  • The detailed requirements of the Work at Height Regulations 2005 with regard to guardrails, working platforms, toeboards, bracing & ties have been complied with.

  • Description of any non-compliance with the Work at Height Regulations & recommended action:

  • In order to comply with Regulation 12 of the Work at Height Regulations 2005, this scaffold must be inspected before first use, every 7 days (or following any events likely to have affected its strength or stability) and after any substantial addition, dismantling or other alteration. In order to comply with Regulation 12 (7), particulars of each inspection must be recorded in a report of inspection.

    It is also the responsibility of every employer under Schedule 3 to ensure that the requirements of the regulations which apply to their own employees are complied with.

  • Name and Signature of Scaffold Contractor

  • Name and Signature of Client/Contractor

  • Are you happy with the works that are being handed over to you?

  • or Certificate despatched to client/contractor by post/email/fax on (Date) (If sent by electronic means, a sending receipt must be maintained)

User's Responsibilities

  • Scaffolding is safe if you comply with regulations and:
    ALWAYS:
    • Ensure the scaffold specification meets your requirements.
    • Check the use and loading above is what you have specified.
    • Inspect scaffold before signing and accepting the handing over certificate.
    • Carry out and record 7 day inspections.
    • Keep the report or a copy of the report at your site during construction work and thereafter at your offices for 3 months.
    • Use suitable warning signs for incomplete or unsafe scaffolds.
    • Spread the load - Instruct users on maximum loading specified.
    • Use suitable loading towers.
    • Report any damage to scaffold materials (erected or not) to the scaffold contractor.

  • Scaffolding is very dangerous if abused, so:
    NEVER
    • Remove ties
    • Remove, adjust, modify or alter any part of the scaffold.
    • Overload the scaffold.
    • Allow digging under or near the scaffold.
    • Add sheeting or netting unless the scaffold has been designed for it.
    • Forklift loads directly onto access scaffolds.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.