Doc.

Title: Temporary Works Design Certificate

Identifying Hazards / Impacts,
Procedure
Assessing Risks / Aspects & Revision 00
Reference
Implementation of Controls
Issue
Doc. No. BMS-HSS-F-002 10/01/16
Date

Project: IKEA 2 JGC Client AECOM

Date: Designer (company name) TTW

Certificate Reference Number

Note: to be developed in line with the Project HSS Plan, IK2-BAM-GE-SA-Q-0001

1. Designer’s client:

Elements/features of the temporary works for which we

2. were/are appointed.

3. Main design codes adopted:

(if applicable)

Drawings:
4.
(schedule may be appended)

5. The intended construction sequence is detailed in:

6. Requirements for temporary stability, propping, bearing,

bracing, loading restrictions etc. are detailed in:

We hereby confirm that we have to date carried out, and will continue to carry out as necessary, the design of those parts
of the works which we are appointed to design exercising reasonable professional skill, care and diligence and with due
regard to our duties under the Legal Requirement Register and as per the BAM International Requirements set out in the
Project HSS Plan – IK2-BAM-GE-SA-Q-0001 and the Evaluation of Legal and Other Requirements – BMS-HSS-F-005.
When completing the temporary works certificate the Temporary Works coordinator will;

 Have taken account of the General Principles of Prevention and any existing Safety Requirements
 Have provided the Project Team / HSS Department as appropriate with relevant information as required and
have cooperated with the BAM International Project Team / HSS Department and with other designers as
necessary.
 Update the temporary works register as required.

Signed: For and on behalf of (temporary works designer) Date:

We hereby confirm that we have coordinated the activities of the designer named above and the other designers on the
project in respect of the taking account of the General Principles of Prevention during the design of the element(s)
described above.

Erection of the Temporary Works may proceed; subject to the provision of as Method Statement agreed by BAM
International and the Project Temporary Works Coordinator (TWC).

Signed: Temporary Works Coordinator Date:

BMS-HSS-F-002/Rev00/issue date100116