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‘CERTIFICATE OF FITWESS OF SCAFFOLDING
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and Work @Height Permit No
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that tisintended or very ight Light du Canora purpose Heavy diy!
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Jaded beyond —————— hg 9m. (KN.
Name of Scaffolding Inspector
Nome of Scaling Superior
ser Departnent:
Sign. of Saffolaing inspector
‘Sign. of Scafelting Supentsor
‘Ssafloing Contractor US
Moitenance Contacte: 403
WEEKLY RECERTIFICATION FORFTHESS OF SCAFFOLDING
PPLICABLE TOLONG DURATION WORK OR ELSE MAY BE SPECEED)
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Annexure
‘ScAFFOLOMG WSPECTION CHECKLIST
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