Form 16 - Inspection Certificate/aspect Certificate/qbcc Licensee Aspect Certificate - Queensland Department Of Housing And Public Works Page 2

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4. Description of component/s
certified
Clearly describe the extent of work
covered by this certificate, e.g. all
structural aspects of the steel roof
beams.
5. Basis of certification
Detail the basis for giving the
certificate and the extent to which
tests, specifications, rules, standards,
codes of practice and other
publications, were relied upon.
6. Reference documentation
Clearly identify any relevant
documentation, e.g. numbered
structural engineering plans.
7. Building certifier reference
Building certifier reference number
Development approval number
number and development
approval number
8. Building certifier, competent
Name
(in full)
person or QBCC licensee
details
Company name if applicable
Contact person
A competent person must be
assessed as competent before
carrying out the inspection.
Phone no.
Mobile no.
Fax no.
(business hours)
The builder for the work cannot give a
stage certificate of inspection.
A competent person is assessed by
Email address
the building certifier for the work as
competent to practice in an aspect of
the building and specification design,
Postal address
because of the individual’s skill,
experience and qualifications. The
competent person must be registered
or licensed under a law applying in the
Postcode
State to practice the aspect.
Licence class
Licence number
If no relevant law requires the
individual to be licensed or registered,
the certifier must assess the individual
as having appropriate experience,
Date approval to inspect received from building certifier
qualifications or skills to be able to give
the help.
If the chief executive issues any
guidelines for assessing a competent
person, the building certifier must use
the guidelines when assessing the
person.
9. Signature of building certifier,
Signature
Date
competent person or QBCC
licensee
Note: A building certifier must sign this
form for temporary swimming pool
fencing under section 4 of Schedule 1
of QDC MP 3.4.
The Building Act 1975 is administered by the Department of Housing and Public Works

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