Scaffold hand over certificate
The scaffold hand over certificate releases the scaffold(s) to the client. The scaffold(s) have
been inspected by the client and has been erected to the client’s requirements. All scaffolds
have been erected as per the requirements of the Best Practice Guidelines for Scaffolding in
New Zealand. The client undertakes to control the use, and users of the scaffold structure(s)
while under their control as required by the Health and Safety Act and Regulations.
Scaffold hand over certificate
Client:
Location:
Description:
Comments:
Special conditions:
Authorised Foreman /
Client
(Please print clearly)
Scaffolding
Representative
(Please print clearly)
Signature
Date
Signature
Date
Note: Scaffolding over 5.0m or more is notifiable work and the erection/dismantling
or alterations including the movement of planks, can only be carried out under the
supervision of a Scaffolder holding a current Certificate of Competency.
Scaffold Notifiable
Yes
No
Levels planked
Ladder, stair access bays
Working levels with double hand
rails
Scaffold ties
Screening
Levels with kickboards
Scaffold Register
Yes
Light duty
225Kg per bay
Useable lifts per bay
4
Medium duty
450Kg per bay
Useable lifts per bay
2
Heavy duty
675Kg per bay
Useable lifts per bay
1
Special duty
Useable lifts per bay
Scaffolding and Rigging New Zealand (SARNZ), 2009.
Limitations
No