Name of Project : MCCIN, Bangalore Date : 13-12-2022

Name & Details of skilled person

Sl. No. Name Emp ID. Sub Contractor

1 Kamal Kumar W152266 Akhileshwar

2 Dhiraj W176584 Akhileshwar

SCAFFOLDER SKILL TEST ASSESSMENT

Max. Scaffolder
S.No Description Remarks
Marks
1 2 3 4 5

1 Selection of material for works 4 3

2 Knowledge in sequesce of work 5 4

Knowledge in Provion of bracing , support &

3 4 5
temorary staircase

Provision of working platform in external & cantilver

4 4 4
bracket

5 Knowledge in provision of external scoffolding 3 4

6 knowledge in provision of Catching net provision 4 4

7 Knowledge in provision of base jack & U head 4 4

8 Provision of scaffloding size as per the drawing 5 4

Total Marks obtained :

33 32
Min. Marks Required : 24 Marks (60%)

Result (Pass / Fail) Pass Pass

Name of assessor : Arun M - Sr. Engineer-QA/QC

Signature : ___________________________________________

Date : 13-12-2022

Company : L&W Construction Pvt.Ltd.