Scaffolding Erection Permit Form
Project Name
Location
Permit Number
Date of Application
Start Date
End Date
Company / Contractor Name
Supervisor Name
Contact Number
Details of Scaffolding Erection Work
Height of Scaffolding (m)
Type of Scaffolding
Materials Used
Number of Workers
Personal Protective Equipment (PPE) Checklist
PPE Item
Available
Remarks
Helmet
Harness
Safety Shoes
Gloves
Remarks / Additional Information
Applicant Signature
Date
Permit Approved By
Approval Date