construction compliance certificate Word

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Version 3 – Nov 2015
TAA Ref No
Name of Structure
DEPARTMENT FOR REGIONAL DEVELOPMENT - TRANSPORTNI
TECHNICAL APPROVAL OF HIGHWAY AND ASSOCIATED
STRUCTURES
PRIVATE DEVELOPMENT - CONSTRUCTION COMPLIANCE
CERTIFICATE
Name of Project
Division
Name of Structure
TAA Ref No
Structure ref No
DIV Ref No
Design Organisation
DC Ref No
On Behalf of
Plan’ Ref No
1. We certify that:
Name of Structure
i.
1
Has been constructed, commissioned and tested in accordance with:
a) . The Approval in Principle: (ref & date)
b) . The Design/Check Certificate(s): (ref & date)
c) . The Specification for Highway Works: (edition & date)
ii.
The construction of the works has been accurately translated into As Constructed drawings. The
unique numbers of these drawings are:
Drawing No.
Date
Drawing No.
Date
Signed
Contractor’s Representative
Name
1
Version 3 – Nov 2015
TAA Ref No
Name of Structure
2
Engineering Qualifications
________________________________
Date
_______________________
Signed
________________________________
Name
Principal/Partner/Director (Contractor or organisation
responsible for construction)
Position held
Name of organisation
Date
2. We certify that reasonable professional skill and care has been used in examining the
construction of:
Name of Structure
and that:
i.
1
It has been constructed, commissioned and tested in accordance with:
a) The Approval in Principle: (ref & date)
b) The Design/Check Certificates : (ref & date)
c) The Specification for Highway Works: (edition & date)
ii.
The construction of the works has been accurately translated into As Constructed drawings scheduled
in 1.ii.
iii
The Health and Safety File and Maintenance Manual are complete and have been passed to
TransportNI ………………..Division.
Signed
Name
Position held
Name of organisation
Principal/Partner/Director (Design Consultant/Works
Examiner)
Date
3. This certificate is received by TransportNI …………………… Division:
2
Version 3 – Nov 2015
TAA Ref No
Name of Structure
Signed
Name
Divisional Manager
TransportNI
Date
Notes:
1.
2.
Delete as required.
Appropriate Engineering Qualifications e.g. CEng, MICE, MIStructE..
3
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