Permissions and permits - Form TOR 1
FORM TOR 1 continued
_______________________________________________________________________________
PART B (To be completed where proposed operations include the erection of
Scaffolding on or over a footway or carriageway.)
_______________________________________________________________________________
DESIGN CERTIFICATE FOR THE ERECTION OF SCAFFOLDING
I/We hereby certify that in support of my/our application for permission to erect scaffolding on,
or projecting over the road at _______________________________________________________
The scaffolding has been designed in accordance with the recommendations of the current edition of
British Standard Code of Practice, BS 5973.
Scaffolding duty type (refer BS 5973: Table 1) __________________________________________
Class of protection fan (refer BS 5973: Clause 25.1) _____________________________________
State whether scaffolding is sheltered or unsheltered _____________________________________
I/We also certify that the scaffolding will be adequately supported on firm ground of the required
bearing capacity, or otherwise adequately supported (Give details of scaffolding suspended, or
cantilevered from buildings or over cellars, stairs, roofs, garden areas, or deck structures etc.)
I/We undertake to ensure that a completed Certificate of Completion of Erection (Form TRO 4) is
submitted to the Head of Roads, Renfrewshire Council, prior to the scaffolding being used.
Signed ___________________________ Qualifications __________________________________
Date _______________________ Official Designation ___________________________________
On behalf of _____________________________________________________________________
Address ________________________________________________________________________
_______________________________________________________________________________
Telephone No. ___________________________________________________________________
Note 1. Consultation with the Head of Roads (Renfrewshire Council) at an early stage in the preparations is
recommended particular where scaffolding is of a complex nature or is sited at locations which are subject to
heavy pedestrian and/or vehicular traffic.
2. A Design Certificate will only be accepted if it is signed by suitable qualified person.
3. Where tubes and fitting other than steel are to be used (e.g. Aluminium or timber) or proprietary systems, full
details are to be given with calculations or test certificates, where required, to show they are equivalent to
scaffolding design and erected in accordance with British Standard BS 5973: Section 4.
