Scaffold Handover Certificate Template – Australia

The Scaffold Handover Certificate Template – Australia is offered in multiple formats, including PDF, Word, and Google Docs. These templates are fully editable and printable, ensuring they cater to your specific requirements effortlessly.


Sample

Scaffold Handover Certificate Template – Australia

Editable | Printable



1. Project Information



2. Handover Date

3. Scaffold Details

4. Compliance and Inspections

5. Responsibilities of the Parties

6. Acknowledgment of Handover

7. Signatures of Acceptance




PDF


WORD

Examples


Scaffold Handover Certificate Template – Australia (1)
Project Details:
Project Name: [Project Name]
Project Address: [Project Address]
Project Manager: [Manager’s Name]
Contact Number: [Manager’s Phone]
Handover Date:
This certificate is issued on [Handover Date].
Scaffold Details:
Scaffold Type: [Type of Scaffold]
Scaffold Location: [Specific Location on Site]
Height: [Height of Scaffold]
Installed By: [Installation Company’s Name]
Condition of Scaffold:
The scaffold has been inspected and is found to be in compliance with all relevant Australian standards and regulations, including AS/NZS 1576.
Safety Procedures:
All safety measures and procedures were adhered to during the installation and handover process including the proper signage, safety nets, and personal protective equipment.
Responsibilities:
It is the responsibility of the contractor to ensure that the scaffold remains safe and secure until it is dismantled.
Signatures:
This certificate acknowledges the successful handover of the scaffold.
Signed by:
[Installer’s Signature]
[Installer’s Name]
[Company Name]
Date: [Date]
Scaffold Handover Certificate Template – Australia (2)
Project Information:
Project Name: [Project Name]
Site Address: [Site Address]
Client: [Client’s Name]
Contact Person: [Contact Person’s Name]
Date of Handover:
This certificate is presented on [Handover Date].
Scaffold Specifications:
Type: [Type of Scaffold]
Purpose: [Purpose of Use]
Location: [Specific Area on Site]
Height: [Height Measurement]
Erected By: [Erector’s Name]
Compliance Statement:
The scaffold has been fully inspected in accordance with Australian standards, ensuring it is safe for use in construction activities.
Safety Verification:
It is confirmed that safety protocols were strictly followed, including the use of adequate fall protection and scaffolding safety measures.
Future Responsibilities:
The client assumes responsibility for maintaining the scaffold’s integrity until it is dismantled.
Acceptance Signature:
This document certifies the formal handover of the scaffold to the relevant personnel.
Signatories:
[Handover Representative’s Signature]
[Handover Rep’s Name]
[Company/Organization Name]
Date: [Date]

Printable




Scaffold Handover Certificate Template - Australia