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SCAFFTAG/ ECHAFAUDAGE-TAG

SCAFFTAG

SCAFFTAG

BULLETIN DE CONSTRUCTION ET DINSPECTION


ERECTION AND INSPECTION RECORD

REGULAR INSPECTION MUST BE CARRIED OUT BY


COMPETENT PERSON TO ENSURE CFR
COMPLIANCE.
IT IS UNLAWFUL TO REMOVE OR INTERFERE WITH
THIS SIGN.

CLIENT
LIEU/JOB

Echafaudage conforme

DATE DE CONSTRUCTION/
DATE ERECTED
CONSTRUIT PAR/
ERECTED BY
INSPECTION PAR DU PERSONNEL COMPETENT
INSPECTED BY COMPETANT PERSON

SIGNATURE
PRINT
PLAN DE CHARGEMENT
LOADING SCHEDULE
Poids lger ( 25 LBS Pi)
Light Duty ( 25 LBS / SQ FT )
Poids moyen ( 25 LBS Pi )
Medium Duty ( 25 LBS / SQ FT )
Poids lourd (50 LBS Pi )
Heavy Duty ( 75 LBS / SQ FT )
Voir dessin technique
See Engineering Drawing
Protection contre les chutes exige
Fall Protection Required
VOIR VERSO POUR LE BULLETIN DINSPECTION
SEE REVERSE SIDE FOR INSPECTION RECORD

INSPECTION RECORD
DATE

COMPETENT PERSON

SCAFFTAG

SCAFFTAG

ATTENTION/CAUTION

REGULAR INSPECTION MUST BE CARRIED OUT BY


COMPETENT PERSON TO ENSURE CFR
COMPLIANCE.
IT IS UNLAWFUL TO REMOVE OR INTERFERE WITH
THIS SIGN.

ECHAFAUDAGE INCOMPLET
INCOMPLETE SCAFFOLD

CLIENT

Echafaudage incomplet

LIEU/JOB

INSPECTION RECORD

DATE DE CONSTRUCTION/
DATE ERECTED
CONSTRUIT PAR/
ERECTED BY
INSPECTION PAR DU PERSONNEL COMPETENT
INSPECTED BY COMPETANT PERSON

SIGNATURE
PRINT
PLAN DE CHARGEMENT
LOADING SCHEDULE
Poids lger ( 25 LBS Pi)
Light Duty ( 25 LBS / SQ FT )
Poids moyen ( 25 LBS Pi )
Medium Duty ( 25 LBS / SQ FT )
Poids lourd (50 LBS Pi )
Heavy Duty ( 75 LBS / SQ FT )
Voir dessin technique
See Engineering Drawing
Protection contre les chutes exige
Fall Protection Required

VOIR VERSO POUR LE BULLETIN DINSPECTION


SEE REVERSE SIDE FOR INSPECTION RECORD

DATE

COMPETENT PERSON

Echafaudage non conforme

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