Name or description of installation
I certify that all of the following parts of this installation have been designed, constructed, operated, maintained, suspended, or abandoned, as indicated below, in accordance with generally accepted and appropriate industry practice, as indicated by compliance with the appropriate part or parts of the codes of practice or standards specified:
|Part (description)||Code of practice||Action*|
|*Specify whether it has been designed (D), constructed (C), operated (O), maintained (MS), abandoned (A).|
The following parts of this installation have the following limitations:
This certificate of fitness expires on the close of [date] or, in respect of any part of this installation, on the date on which that part no longer complies with this certificate of fitness.
[Name of inspection body]
[Name of inspection body] is an inspection body recognised by WorkSafe, such recognition being notified in the Gazette on [date], at [page number].