1964_CONSTRUCTION_SITES_(SAFETY)_REGULATIONS — Page 57

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

1983 Ed.]

Construction Sites (Safety) Regulations

[CAP. 59

157

[Subsidiary]

FORM 12

表格十二

SCAFFOLDS

CONSTRUCTION SITES (SAFETY) REGULATIONS

REPORTS OF RESULTS OF MONTHLY OR OTHER INSPECTIONS

(2)

Form prescribed pursuant to regulation 38K(1) of the

Construction Sites (Safety) Regulations

建築地盤(安全)規例

棚 架

每月一次或在其他場合執行之視察結果報告

本表格乃根據建築地盤(安全)規例第三十八K(1)款而制訂

Result of inspection.

State whether the scaffold

is in safe working order

註明該座棚架是否安全可用

(3)

[reg. 38K(1).]

【規例第三十八K(1)款]

Signature and designation of person who made the inspection

觀察人員簽署及職階

(4)

Work commenced Date

開始施工日期

Description or location

Date of

inspection

有關棚架之說明或所在地點

視察日期

(1)