Scaffold Erection Method Statement Approval Form
Project:
Location:
Reference No.:
Date:
Scope of Work
Method Statement Description
Hazard Identification and Controls
Required Certificates / Attachments
Document
Attached
Scaffolder Certificate
Scaffold Drawing
Inspection Checklist
Others
Prepared By
Name
Position
Signature
Date
Verified By (Safety Dept.)
Name
Position
Signature
Date
Approved By
Name
Position
Signature
Date