I 56

[Subsidiary]

Name or title of Employer or Contractor
僱主或承造商姓名或名稱

Address of Site
建築地盤地址

Work commenced Date 開始施工日期

FORM 11
表格十一

Construction Sites (Safety) REGULATIONS
EXCAVATIONS AND EARTHWORKS
REPORTS OF RESULTS OF WEEKLY THOROUGH EXAMINATIONS

Form prescribed pursuant to regulation 39(2) of the
Construction Sites (Safety) Regulations
建築地盤(安全)規例
挖掘及填土工程每週詳細檢驗結果報告 本表格乃根據建築地盤(安全)規例第二十九條(2)款而制訂

Description or location
說明或所在地點

第(2)款〕
(reg. 39(2).]
[規例第三十九條
CAP. 59]

Construction Sites (Safety) Regulations

(1) (2) (3) (4) Description or location
說明或所在地點 Date of examination
檢驗日期 Result of thorough examination.
詳生檢驗結果
註明該項挖掘或填上工程及連帶建立之
構築物是否安全穩固 Signature and designation of person who made the inspection
視察人員簽署及職階

[1983 Ed.

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