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Vehicle Inspection Check In
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SWMS
Job Safety Analysis (JSA)
JSA – Roof Rail
JSA – Scaffolding
Scaff Tags
Handover Certificates
Scaffolding Handover Certificate
Roof Rail Handover Certificate
Reporting page
Safety Meeting/Toolbox Record
Upload Job Photos
Management
Employee Forms
Timesheets
Employee Self Evaluation Form
Application for Leave
Company Policies and Employment Documents
Home
Vehicle Inspection Check In
Labour Hire Docket
SWMS
Job Safety Analysis (JSA)
JSA – Roof Rail
JSA – Scaffolding
Scaff Tags
Handover Certificates
Scaffolding Handover Certificate
Roof Rail Handover Certificate
Reporting page
Safety Meeting/Toolbox Record
Upload Job Photos
Management
Employee Forms
Timesheets
Employee Self Evaluation Form
Application for Leave
Company Policies and Employment Documents
Scaffolding Handover Certificate
Step
1
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6
16%
Job Owner:
(Required)
- Please select -
Josh Prior
Scott Willis
Unknown
Work completed:
(Required)
Erection of new scaffold to the site
Alteration of existing scaffold
Client:
(Required)
Site Address:
(Required)
Location of scaffold on the site:
(Required)
Details of Scaffold installed
Type of Scaffold used:
(Required)
Tube and Coupler
Modular
Mobile
Tower
Other
Number of work platforms:
(Required)
Platform Duty Loading:
(Required)
Light (225kg)
Medium (450kg)
Heavy (675kg)
Custom
If Custom, please specify:
What is the intended use or purpose?
(Required)
Bay and lift dimensions:
No. of lifts above the base lift
Height of scaffold (metres)
No. of Bays long
No. of Bays wide
Scaffold Width (metres)
Scaffold Length (metres)
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Type of Access:
(Required)
Ladder
Normal Stairs
Stretcher Stairs
Ramp
Other
Additional information specific to the project (if requuired):
Fixing, ties and Containment
Method of fixing:
(Required)
Select all that apply
Concrete wall ties
F Ties
Stabilisers
Push Ties
Outriggers
Buttress bay
Other
Location of ties:
(Required)
Length between each tie (in metres):
(Required)
Height between each tie (in metres):
(Required)
Who completed the ties?
(Required)
Full name
Have board retaining clips been installed?
(Required)
Yes
No
NA
Containment sheeting - Location, type and method of fixing:
(Required)
References and Sign-off
Design drawings/references used:
(Required)
Alteration details to existing Scaffold (Note: Must be referenced to previous handover certificates and completed when existing scaffolding has been altered)
(Required)
If not applicable, write N/A.
Have all components been visually checked for defects?
(Required)
Yes
No
Have all wall ties/anchor points been checked and torqued??
(Required)
Yes
No
Total KN torqued to?
Lead Scaffolder who completed the build:
(Required)
Full name
HRW Number
Class
I certify the scaffolding described above complies with all relevant standards, statutory requirements, manufacturers' and suppliers' design specifications and is suitable for the intended purpose/use designated.
Date
(Required)
Day
Month
Year
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Handover issued by:
(Required)
Full name
Position
Client Acceptance
Is the client present for the handover?
(Required)
Yes
No
Client details
Client details
Email address
Signature
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