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COMPANY PROJECT LOGO

LOGO
NAME
PROJECT: __________________
SCAFFOLD TAG
SAFETY INSPECTION
TO BE COMPLETED BY SUPERVISOR
SERIAL NO. :__________________
ERECTION AND INSPECTION RECORD
SUPV. :_______________________ LOCATION: ___________________________,
DATE :________________________
REF NO.: _____________________________,
INSPECTED BY :________________
COMPANY REQUESTED BY: ______________________,
LOGO
NAME
PROJECT: __________________ BUILT BY: ____________________________,

SAFETY INSPECTION DATE: _______________________________,


SERIAL NO. :__________________
SIGNATURE: _________________________,
STRUCTURE TO BE USED FOR
SUPV. :_______________________
LIGHT DUTY
DATE :________________________
1.50Kn/m3 / 150kg/m3
INSPECTED BY :________________
COMPANY
LOGO
NAME GENERAL PURPOSE
PROJECT: __________________ 2.00Kn/m3 / 200kg/m3
SPECIAL
SAFETY INSPECTION
PURPOSE
HEAVY DUTY kg/m3
SERIAL NO. :__________________
2.50Kn/m3 / 250kg/m3
SUPV. :_______________________ TO BE COMPLETED BY SUPERVISOR
DATE :________________________
INSPECTORS
INSPECTED BY :________________ SIGNATURE: _____________________________,
COMPANY
LOGO
NAME DATE: ___________________________________,
PROJECT: __________________

SAFETY INSPECTION BEFORE BEING TAKEN INTO USED FOR THE FIRST TIME
SERIAL NO. :__________________

SUPV. :_______________________

DATE :________________________

INSPECTED BY :________________
COMPANY PROJECT LOGO
LOGO
NAME
PROJECT: __________________
SCAFFOLD TAG
SAFETY INSPECTION
TO BE COMPLETED BY SUPERVISOR
SERIAL NO. :__________________
ERECTION AND INSPECTION RECORD
SUPV. :_______________________ LOCATION: ___________________________,
DATE :________________________
REF NO.: _____________________________,
INSPECTED BY :________________
COMPANY REQUESTED BY: ______________________,
LOGO
NAME
PROJECT: __________________ BUILT BY: ____________________________,

SAFETY INSPECTION DATE: _______________________________,


SERIAL NO. :__________________
SIGNATURE: _________________________,
STRUCTURE TO BE USED FOR
SUPV. :_______________________
LIGHT DUTY
DATE :________________________
1.50Kn/m3 / 150kg/m3
INSPECTED BY :________________
COMPANY
LOGO
NAME GENERAL PURPOSE
PROJECT: __________________ 2.00Kn/m3 / 200kg/m3
SPECIAL
SAFETY INSPECTION
PURPOSE
HEAVY DUTY kg/m3
TO BE COMPLETED BY SUPERVISOR

INSPECTORS
SIGNATURE: _____________________________,
COMPANY
LOGO
NAME DATE: ___________________________________,
PROJECT: __________________

SAFETY INSPECTION BEFORE BEING TAKEN INTO USED FOR THE FIRST TIME
SERIAL NO. :__________________

SUPV. :_______________________

DATE :________________________

INSPECTED BY :________________

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