✨ Scaffolding and Excavation Forms
3348
THE NEW ZEALAND GAZETTE.
[No. 86
SECOND SCHEDULE.
[Form S. & E. 1.
The Scaffolding and Excavation Act, 1922.
CERTIFICATE OF INSPECTOR AUTHORIZING USE OF SCAFFOLDING, GEAR, OR SWINGING-STAGE.
To
I HEREBY authorize the use of the scaffolding [or gear or swinging-stage] erected at
and inspected by me at
a.m./p.m. on
, 19
, for the purpose of
provided that the total distributed weight does not exceed
.
Inspector of Scaffolding.
Date:
, 19
.
(NOTE.—This certificate shall not apply if the construction or material of this scaffolding, gear, or swinging-stage is altered or if the prescribed weight is exceeded.)
[Form S. & E. 2.
In pursuance and exercise of the powers and authority vested in me by the Public Service Act, 1912, I,
, the Commissioner appointed under the Public Service Act, 1912, hereby certify that
, of
, has been duly appointed to be an Inspector under the Scaffolding and Excavation Act, 1922.
Dated this
day of
, 19
.
Public Service Commissioner.
[Form S. & E. 3.
The Scaffolding and Excavation Act, 1922.
NOTICE OF INTENTION TO ERECT SCAFFOLDING OR CRANE, OR BEGIN BUILDING-WORK OR EXCAVATION.
To the Inspector of Scaffolding,
Department of Labour,
I [We],
, hereby give notice, pursuant to section 5 of the above Act, that I [we] intend to—
(a) Build a
of a height of
ft.
(b) Begin the erection of scaffolding of a height of
ft., and of the following description:
(Notices of (a) and (b) are not required unless a risk will be involved of falling 12 ft. or more.)
(c) Erect a crane to lift
tons.
(d) Make an excavation of
ft. in depth.
(Notice of an excavation is not required unless it is to be 5 ft. or more in depth.)
at
, on the
day of
, 19
.
Dated this
day of
, 19
.
Name :
Postal Address :
To Mr.
I have to acknowledge receipt of a notice dated
of intention to erect scaffolding [to do building-work, to erect a crane, to make an excavation] at
.
Inspector of Scaffolding.
Date:
, 19
.
[Form S. & E. 4.
The Scaffolding and Excavation Act, 1922.
CERTIFICATE OF COMPETENCY TO SUPERVISE ERECTION OR ALTERATION OF SCAFFOLDING EXCEEDING 25 FT. IN HEIGHT OR OF A CRANE.
I HEREBY certify that
is a competent person to supervise the erection [or alteration] of a scaffolding exceeding 25 ft. in height [or of a crane] at
.
Dated this
day of
, 19
.
Inspector of Scaffolding.
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VUW Te Waharoa —
NZ Gazette 1935, No 86
NZLII —
NZ Gazette 1935, No 86
✨ LLM interpretation of page content
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