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Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

Temporary Works Procedure: SAMPLE

EDITORIAL NOTES:
1. This template procedure has been prepared by the Temporary Works
Forum (TWf, www.twforum.org.uk). It is intended as guidance for
small- to- medium-sized contractors (SMEs) who are managing small
projects that involve them in temporary works. Once amended and
adopted it becomes a company procedure; responsibility for its
content is that of the company. When working on large projects,
responsible to others, it will be necessary to take into account the
procedures of the Principal Contractor for whom the SME is working
(and this should be discussed with the PC’s TWC).
2. This template procedure does not set out to be prescriptive and
should be amended to suit individual company operations and
preferences. It should be customised as indicated. ‘Editorial Notes’
should be deleted. The term ‘the company’ is used; this should be
changed to the name of the company adopting the procedure.
3. The template procedure aims to ensure that the main elements of BS
5975: 2019 have been addressed; with the aspiration of promoting
the safe management of temporary works.
4. This template may be updated from time-to-time. The reader should
check the TWf website (Resources) – www.twforum.org.uk - for the
latest version (which is made available in ‘Word’ format).

Disclaimer:
Although the Temporary Works Forum (TWf) does its best to ensure that any
advice, recommendations or information it may give either in this publication
or elsewhere is accurate, no liability or responsibility of any kind (including
liability for negligence) howsoever and from whatsoever cause arising, is
accepted in this respect by the Forum, its servants or agents. TW19.065
(8.12.19)

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Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

Insert logo

Company: _________________
Prepared by: _________________ (Designated individual)
Date: _________________
Approved by: _________________ (Main board director)
Date: _________________
Revision Number: _________________
Review Date: _________________

1.0 Introduction
1.1 This procedure is mandatory for all company operations (unless, on a particular
project, another Principal Contractor’s procedure is to be adopted by agreement). It is
the responsibility of the company’s Designated Individual (DI) to ensure that this
procedure is appropriate and kept up-to-date.
1.2 All temporary works instigated by the company shall be subject to the control
procedures contained within this document. This is to satisfy the company’s
legislative duties - as well as that of its employees - and to enhance the company’s
health and safety performance.
2.0 Definition
2.1 Temporary works can be defined, broadly, as parts of the works that allow or enable
construction of protect, support or provide access to the permanent works and which
might or might not remain in place at the completion of the works. Examples include:
 Earthworks
Support to trenches; excavations; temporary slopes and stockpiles; open
batters.
 Structures
Concrete formwork; edge protection; falsework; propping and needling; façade
retention; shoring; edge protection; access and support scaffolding; temporary
bridges; site hoarding and signage; site fencing; cofferdams; rebar cages.
 Equipment and Plant Foundations
Mortar silo bases; tower crane bases; supports, anchors and ties for construction
hoists and mast climbing work platforms; groundworks to provide suitable areas
for plant erection, e.g. mobile cranes, piling rigs and MEWPs; outrigger pads; site
cabin foundations; site access and haul roads; and hard standing for plant and
material storage.

3
Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

2.2 It is also necessary to consider permanent works that are part-built or under
temporary loading conditions. This includes deteriorated, damaged or part-
demolished structures as well as those that are under construction and/or being
structurally refurbished. In all these cases these structures may not - without suitable
temporary works - be able to support themselves, let alone additional construction
loadings.
3.0 Appointment of Key Personnel
3.1 The company shall appoint a Designated Individual (DI). This shall be the Director
responsible for health and safety1. A formal appointment shall be made by the
Managing Director with the agreement of the board.
Name of Designated Individual (DI): ____________________________
Date appointed: ____________________________
Appointment approved by: ____________________________
3.2 For each project, a Temporary Works Co-ordinator (TWC) shall be appointed formally
by the DI (see Form No. 1). One person may be appointed to more than one project if
resources and project size permit. A Deputy TWC shall be appointed to cover illness
and absences. These appointments shall be displayed on the project office
noticeboard or other prominent location and recorded in the Construction-phase
Health and Safety Plan.
NOTE: The TWC may be nominated by the project manager (or other person(s) responsible for
resourcing).

3.3 In the event of the company being contracted to undertake work for another
contractor - who may be a Principal Contractor - the company’s project TWC should
liaise with their TWC. The Principal Contractor’s TWC shall have overall control on
temporary works.
3.4 For each project, where required, one or more Temporary Works Supervisors (TWS)
shall be formally appointed by the TWC (see Form No. 2). The TWS shall normally be
the foreman in charge of a team of tradespersons or operatives. At least one TWS
shall be based on site at all times. All company TWSs report to the company TWC.
The lines of responsibility, on each project, should be set out in an organogram (see
Form No. 3).
3.5 The Temporary Works Designer (TWD) shall be nominated by the TWC on evidence
that the designer has appropriate experience and engineering qualifications if
required. There shall be a single point of contact established and maintained between
the TWD and the TWC. The TWD shall, as required, liaise with the Principal Designer
(under CDM2015) and Permanent Works Designer (PWD), e.g. structural engineer.

1 EDITORIAL NOTE: If considering an alternative appointee, the DI should be either a member of or

directly responsible to a member of the board of directors and should have both responsibility and
authority for establishing and maintaining a procedure to control those aspects of temporary works
(and associated risks) for which the company has responsibility (or which they can constrain or
influence), e.g. Engineering Director (See BS 5975: 2019, Clause 6.1.2.1).

4
Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

3.6 The Temporary Works Design Checker (TWDC) shall be nominated by the TWC on
evidence that the design checker has appropriate experience and engineering
qualifications if required. The TWDC shall be independent from the TWD (see Annex
A).
3.7 On each project, a record of appointments should be maintained by the TWC (see
Form No. 4).
4.0 Roles and Responsibilities
4.1 Designated Individual (DI)
The DI is responsible for establishing and maintaining a procedure for the control of
temporary works used during the company’s operations; as well as the appointment
of TWCs (and their on-going training).
4.2 Temporary Works Co-ordinator (TWC)
Any TWC is responsible to the company Designated Individual (DI) for the
implementation of the company temporary works procedure, as well as the
appointment of TWSs (where required).
NOTE: They may have a different line manager.

4.3 Temporary Works Supervisor (TWS)

Any TWS is responsible to the Temporary Works Co-ordinator for ensuring the as-built
temporary works comply with the design requirements during construction, use and
dismantling. A TWS should be competent in the area of temporary works that they are
supervising.
NOTE: They may have a different line manager.

4.4 Temporary Works Designer (TWD)

Any TWD is responsible for preparing a design in accordance with the design brief.
4.5 Temporary Works Design Checker (TWDC)
Any TWDC is responsible for ensuring the design is safe, fit for purpose and complies
with the design brief. Four ‘design check categories’ shall be used; see Annex A (and
Table 2, BS 5975: 20192).
4.6 Permanent Works Designer (PWD)
Any PWD is responsible for designing the permanent works and assisting the
Contractor on matters relating to the intended construction method(s). Under CDM
Regulations 2015, they must provide information on the assumed construction
sequence and significant residual risks.

2 BS 5975:2019, Code of practice for temporary works procedures and the permissible stress design of
falsework

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Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

4.7 Principal Designer (PD)

The designer appointed under Regulation 5(1)(a) of the Construction (Design and
Management) Regulations 2015 to perform specified duties in Regulations 11 and 12.
SOURCE: Construction (Design and Management) Regulations 20153

5.0 Identification of Temporary Works

5.1 At pre-contract stage on each project, a Temporary Works Register shall be prepared
(see Form No. 5). This shall include initial, basic information on the envisaged
temporary works and the level of ‘construction risk’ assigned thereto.
5.2 The ‘construction risk’ categories are:

Table 5.2 – Construction risk

Construction risk Who may sign a permit-to-work:
Low TWS
Medium TWC
TWS, with TWC prior approval in writing
High TWC, with DI input where required
NOTE: ‘Construction risk’ includes ‘use’.

5.3 On contract award, the Temporary Works Register shall be passed to the TWC who
shall develop and maintain it. It shall be considered as a ‘live’ document, be updated
on a regular basis and the current version displayed on the project office noticeboard
(or other prominent location).
5.3 A unique identification number should be assigned to each item in the Register.
5.4 The BS 5975 Design Check Categories 0, 1, 2 and 3 (see Annex A) shall be assigned to
each item by the TWC.
6.0 Design Brief
6.1 Following consultation with all relevant parties, including the PWD (where required),
the TWC shall ensure that a Design Brief (see Form No. 6) is prepared for each item in
the Temporary Works Register. The brief shall contain sufficient information to permit
the TWD to prepare an appropriate solution that meets the project’s requirements.
6.2 A single design brief may apply to more than one similar item in the Temporary Works
Register.
6.3 The Design Brief item number should accord with the item number in the Temporary
Works Register.
6.4 The TWC should sign to confirm the content of any Design Brief prior to it being issued
to the TWD.

3 Managing health and safety in construction, Guidance on Regulations, L153

(http://www.hse.gov.uk/pubns/priced/l153.pdf)
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Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

7.0 Temporary Works Design

7.1 All items of temporary works identified on the Temporary Works Register should be
designed by a competent person/company responsible for the design and/or
specification of each item.
7.2 The design should comply with the requirements of the Design Brief and be delivered
to the TWC in a format appropriate to enable the temporary works to be constructed
in accordance with the TWD’s intentions.
7.3 Any TWD has duties under CDM2015 and must identify hazards and reduce as far as
reasonably practical the associated risks. Residual risks shall be clearly noted on any
design drawings and brought to the attention of the TWS by the TWC.
7.4 A risk assessment should be produced to supplement the safe system of work and
method statement.
7.5 ‘Standard solutions’, e.g. one where a supplier has published technical data showing
arrangements of their equipment, shall be adopted wherever possible and
appropriate (see BS 5975: 2019). Any use limitations should be clear, e.g. design
responsibility for ensuring stability.
7.6 The TWC should request a Design Certificate from the TWD (see Form No. 7).
8.0 Temporary Works Design Check
8.1 All items of temporary works identified in the Temporary Works Register should have
assigned a competent person or Company who is responsible for the checking of the
design and/or specification of each item.
8.2 The independence of the design checker to the designer shall be as set out using the
BS 5975 Design Check Categories 0, 1, 2 and 3 (see Annex A) and as agreed with the
TWC.
8.3 The temporary works design shall be checked for concept, adequacy and compliance
with the Design Brief.
8.4 Evidence of a satisfactory design check shall be recorded in the TWC’s Project File.
8.5 The TWC should request a Design Check Certificate from the TWDC (see Form No. 8).
9.0 Temporary Works Inspection
9.1 Prior to installation, all temporary works materials are to be inspected for suitability
by the TWS.
9.2 As works progress, the installation is to be inspected by the TWS and/or TWC until
complete and ready to use.
9.3 Any alterations or deviations to the design should be identified to the TWC, by the
TWS, for subsequent consultation with the TWD and/or PWD.
9.4 A record of inspections shall be completed by the TWS and/or TWC (see Form No. 9).

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Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

10.0 Hold Points (and Permits-to-Work)

10.1 Hold points shall include inspections, loading, proceeding, putting into use or
dismantling any temporary works (as appropriate). A permit-to-work (see Form No.
10) shall be signed and issued by the TWC (or by the TWS, if the TWS has been so
authorised in writing: see Table 5.2). Each permit must be signed by the authorised
signatory and retained in the TWC’s Project File. A copy may be appropriately
displayed.
NOTE: For high-risk work, the TWC may not delegate the signing of a permit-to-work to the TWS.

10.2 The permit-to-work identification number should accord with the item number in the
Temporary Works Register.
10.3 The permit-to-work shall indicate clearly the extent of its application and any
date/time constraints. All relevant design drawing references, risk assessments and
method statements should be included on the permit. A unique identification number
should reference the relevant design brief(s) and the item(s) in the Temporary Works
Register.
10.4 At the TWC’s discretion, a single permit-to-work may be issued for multiple, identical
operations - covered by the same design - on the basis that each operation is
appropriately checked/inspected prior to the operation commencing.
11.0 Temporary Works Training Requirements
11.1 Any TWC and TWS should have current CITB Site Safety Plus TWC (2-day) and TWS (1-
day) certificates, respectively.
11.2 Other training should be identified, e.g. SMSTS, SSSTS, etc. (see TWf Information
Sheet No. 24).
12.0 Auditing of Temporary Works procedure
12.1 The DI shall arrange for formal audits on the application of this procedure in order to
ensure compliance and effectiveness within the business.
12.2 Issues identified shall be recorded in writing and remedial action implemented.
12.3 The frequency of audits shall be identified by the DI.
Frequency: ______________________________ (EDITORIAL NOTE: Insert)

4 TWf Information Sheet No. 2 - Temporary works training

(https://www.twforum.org.uk/viewdocument/twf-information-sheet-no-2-tempo)
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Temporary Works forum Temporary Works Procedure: SAMPLE – TWf2019: 03

ANNEXES:

Annex A Design check categories

Annex B TYPICAL - Project timeline

FORMS:

Form No. 1 Appointment of a Temporary Works Co-ordinator (TWC)

Form No. 2 Appointment of a Temporary Works Supervisor (TWS)

Form No. 3 Organogram - Lines of responsibility (Typical)

Form No. 4 Record of Project Appointments

Form No. 5 Temporary Works Register

Form No. 6 Design Brief

Form No. 7 Design Certificate

Form No. 8 Design Check Certificate

Form No. 9 Record of Inspection

Form No. 10 Permit-to-work

ANNEX A
Design check category

Design Scope Comment

check
category

0 Restricted to standard solutions only, to ensure the This applies to the use of standard solutions
site conditions do not conflict with the scope or and not the original design, which requires bot

9
 limitations of the chosen standard solution. These structural calculation and checking to Category member of the site or design team.
may include standard trench boxes. 1, 2 or 3, as appropriate.

1 For simple designs. These may include: formwork; Such designs would be undertaken using simple The check may be carried out by
falsework; needling and propping to brickwork methods of analysis and be in accordance with another member of the design team.
openings in single storey construction. the relevant standards, supplier’s technical
literature or other reference publications.

2 On more complex or involved designs. Designs for Category 2 checks would include designs where The check should be carried out by
excavations including excavation support using sheet a considerable degree of interpretation of an individual not involved in the
piles, for foundations, for structural steelwork loading or soils’ information is required before design and not consulted by the
connections, for reinforced concrete. Designs where the design of the foundation or excavation designer.
stability is obtained by restraint at the top of the support or slope is carried out.
temporary works (e.g. top-restrained falsework).

3 For complex or innovative designs, which result in These designs include unusual designs or where The check should be carried out by
complex sequences of moving and/or construction of significant departures from standards, novel another organization and should
either the temporary works or permanent works. It methods of analysis or considerable exercise of include an overall check to assure
also includes basement excavations and tunnels. engineering judgment are involved. co-ordination of the whole design.

Source: BS 5975: 2019, Table 2 – Categories of design check in temporary works

ANNEX B
TYPICAL - Project Timeline

Phase Action By Form

Establish proposed methods of construction and associated Bid Manager

temporary works requirements
Planning
Tender/

Initiate and populate Temporary Works Register Bid Manager 5

Identify potential personnel for the roles of TWC and/or TWSs DI

10
 Formally appoint TWC (and Deputy TWC) for the Project DI 1

Record project appointments (and keep up-to-date) Project Manager 3 and 4

Develop Temporary Works Register (with project-specific TWC

5
requirements)

Formally appoint Temporary Works Supervisor(s) TWC (with DI) 2

Nominate designer(s) and issue design brief for each item of TWC
6
temporary works in the Register

Verify that the temporary works designs accord with site TWC
7
requirements
Contract stage

Ensure design checks are undertaken at appropriate category TWC (with TWDCs) 8

Ensure that the final design, RAMS and inspection checklists are TWC (with TWSs)
distributed to site (and understood by all)

Ensure that any materials are inspected on delivery TWC (with TWSs) 9

Ensure that any changes and/or deviations are notified to the TWD TWC
and TWDC, for approval

Ensure that any changes and/or deviations are approved, TWC

communicated, logged; and that current drawings are used

Ensure inspections are carried out by TWS(s) competent in the TWC

construction, use, maintenance and dismantling of the individual (with Project 9
item of temporary works Manager)

Hold Points: Issue any permit-to-work, e.g. load, put into use or TWC
10
dismantle (as appropriate)

Ensure records are kept and maintained TWC

11
 FORMS
Examples

12
Form No. 1
EXAMPLE - Appointment of a Temporary Works Co-ordinator (TWC)

APPOINTMENT OF TEMPORARY WORKS CO-ORDINATOR (TWC) FORM No. 1

From: Date:
Designated Individual

To: Project:
Appointment:
You have been appointed as the Temporary Works Coordinator for the above Project.
This appointment satisfies the recommendation in BS 5975: 2019 to appoint a Temporary Works Coordinator.
The duties and competencies are summarised below and are detailed in the Company Temporary Works Procedure.
Signed:
ACKNOWLEDGEMENT
Duties:
 The TWC has overall responsibility to ensure that all temporary works under their control are undertaken in
accordance with the company Temporary Works Procedure.
NOTE: A PC’s TWC takes precedence.
 For temporary works in Design Check Category 1, 2 and 3 ensure there is an agreement in place to formally allocate
design responsibility to the design and design checking organisations.
 Prepare, maintain and regularly review the Temporary Works Register for the above project.
 Ensure each temporary works item is allocated an appropriate ‘construction risk’ category.
 Ensure that a written Design Brief is prepared for all appropriate temporary works and issued to the design and
design checking organisations identified on the Temporary Works Register.
 Review Risk Assessments and Method Statements (RAMS) to ensure particular requirements are incorporated.
 Ensure that a Project Site File is established and maintained; to include a record of all relevant documents.
 Liaise with the Principal Contractor’s TWC (and seek approvals, where required).
 Distribute information to all interested parties, including the Principal Designer and Client where appropriate.
 Ensure that any proposed changes in material or construction are referred to the Temporary Works Designer and
that any agreed changes or corrections of faults are correctly carried out on site.
 Ensure that all appropriate inspections and hold points (including those noted in the design) are undertaken and
recorded on the permit-to-work.
 Sign and issue the permit-to-work, e.g. permit to load, permit for putting into use, permit to strike, permit to
remove, etc.; and agree in writing where the TWS may do this (not high-risk work).
 Identify and instigate any requirements for periodic inspections, monitoring and maintenance of the temporary
works.
Competency Requirements:
 Have undertaken and passed the 2-day CITB-accredited TWC Course; and have proven experience.
 Understand the company procedure for the control of temporary works.
 Have the resource, personal skills and authority to carry out the TWC duties; including the suspension of work where
necessary.
I have read, understand the responsibilities as noted and am able to undertake the duties placed on me by this
appointment.
Signed:
Date:
Copied to:

13
Form No. 2
EXAMPLE - Appointment of a Temporary Works Supervisor (TWS)

APPOINTMENT OF TEMPORARY WORKS SUPERVISOR (TWS) FORM No. 2

From: Date:
Temporary Works Coordinator

To: Project:

Appointment

You have been appointed as the Temporary Works Supervisor for the above Project.
This appointment satisfies the recommendation in BS 5975: 2019 to appoint, where required, a Temporary Works
Supervisor.
The duties and competencies are summarised below and are detailed in the Company Temporary Works Procedure.

Signed:

ACKNOWLEDGEMENT

Duties

 The TWS is responsible to the TWC.

 To contribute to the design brief (via the TWC).
 To operate in accordance with the Company Temporary Works Procedure (and any other Procedures agreed with
the PC, as required).
 Assist the TWC in the supervision and checks for compliance with the design; and recording of inspections of the
temporary works.
 Supervision of the erection, use, maintenance and dismantling of the temporary works.
 Undertaking checks during construction on site.
 To liaising with the TWC to ensure any modifications to the scheme or differences from envisaged conditions are
drawn to the temporary works designer’s attention.
 Undertake periodic inspections, monitoring and maintenance of the temporary works.
 Issue any permit-to-work, where approved to do so by the TWC.

Competency Requirements

 Have undertaken and passed the 1-day CITB-accredited TWS Course; and have proven experience.
 Understand the company procedure for the control of temporary works.
 Have the resource, personal skills and authority to carry out the TWS duties; including the suspension of work where
necessary.

I have read, understand the responsibilities as noted and am able to undertake the duties placed on me by this
appointment.

Signed:

Date:

Copied to:

ACKNOWLDGED BY DESIGNATED INDIVIDUAL (DI)

Signature: Date:

14
Form No. 3
EXAMPLE - Organogram - Lines of responsibility for temporary works (Typical)

Construction teams

Client

Name:

Principal Contractor (PC)

Name:

PC’s Temporary Works

Coordinator (TWC)

Name:

Contractor Contractor (Managing) Contractor (Client-appointed)

Name: Name: Name:

TWC TWC

Name: Name:

TWS(s) TWS(s) TWS(s)

Name(s): Name(s): Name(s):

15
 Design teams

Permanent Principal
Works Designer Designer (PD)
(PWD)
Name:
Name:

Temporary
Works
Coordinator Principal
(TWC) Contractor
Name:

Temporary Temporary Temporary

Works Designer Works Designer Works Designer
(TWD) (TWD) (TWD)

Name: Name: Name:

Temporary Temporary Temporary

Works Design Works Design Works Design
Checker (TWDC) Checker (TWDC) Checker (TWDC)

Name: Name: Name:

16
Form No. 4
EXAMPLE - Record of Project Appointments

RECORD OF PROJECT APPOINTMENTS FORM No. 4

Company
:
Job:
Date:

1. Designated Individual (DI):

Director, Health and Safety [Engineering Director]

2. Temporary Works Co-ordinator (TWC):

Date appointed:
Date accepted:

3. Deputy TWC:
Date appointed:
Date accepted:

4. Temporary Works Supervisor (TWS):

Date appointed:
Date accepted:
NOTE: If more than one record them all

5. Permanent Works Designer:

Scope or work:

Date appointed:
Contact:
NOTE: If more than one record them all

6. Temporary Works Designer:

Scope or work:

17
 Date appointed:
Contact:
NOTE: If more record them all

7. Temporary Works Designer Checker

(TWDC):
Scope of work:

Date appointed:
Contact:
NOTE: If more than one record them all

8. Principal Designer:
Scope of work:

Date appointed:
Contact:
NOTE: See CDM2015

18
Form No. 5
EXAMPLE - Temporary Works Register

TEMPORARY WORKS REGISTER FORM No. 5

)
19
Ref. Rev.: Date: Page No.:
No.:

9.
7.
(1
Project: Title TWC: Name

v8
Item Description Construction Design check Designer Design TWS Temporary Design brief Design Temporary
No. risk category category Checker works in use received works on
site

T-
Low/Medium/High 0/1/2/3 Programme date Issue date Date Date

AF
DR
N AL
FI
f-
TW

Prepared by: Approved by

Temporary Works Coordinator (TWC)

19
Form No. 6
EXAMPLE - Design Brief

DESIGN BRIEF FORM No. 6

Design Brief No. Refer to item in TW Register Relevant drawings and documentation:
Title: Site plan
Excavation support to install drainage between MH1 and MH2 General arrangement
Site investigation data, i.e. relevant borehole logs, trial pit
information, etc.
etc.

Site contact: Name (TWC)

Drawings Format Sections showing pipe invert levels and ground levels
Stage Quantity .pdf .dwg Pipe bedding specification
Preliminary 4 Y Y Sections and plans showing existing services crossing line
of drainage
Construction 6 Y Y Specific requirements of existing service owner
Issue calculations (circle): Y N Relevant site photographs
Design check required (circle): Y N etc.

Design check category (circle): 0 1 2 3

Issued to:
Equipment supplier/ TWD, etc.
Full description of requirements:
Design of vertical trench support using proprietary equipment as far as practical
Design of suitable edge protection
Design of vertical trench closure panels at ends of trench
Design of suitable access/egress arrangements
Risk Assessment and Method Statement for installation, use and removal of equipment
Data on size and weight of plant proposed to dig and subsequently operate alongside excavation
Data on where spoil is to be stored
Required width of excavation to permit personnel access
Maximum required length of excavation to be open at any time
Prepared by: Date:
TWC
Item Yes No Construction risk category:
Design certificate x High Medium Low
Design check certificate x x
Design check(s) to be Name and contact details:
undertaken by:
Preliminary scheme for site review (circle): Yes No
Construction issue drawings (circle): Yes No
Date required by: NOTE: Do not say “ASAP”.

20
Form No. 7
EXAMPLE - Design Certificate

DESIGN CERTIFICATE FORM NO. 7

Reference No. Design Brief No.
Contract: Temporary Works:
Scope of Work:
Design Company: Lead Designer:
I certify that reasonable professional skill and care has been used in the design of the above-noted
temporary works, which is described accurately by the following drawings, and that the design is in
accordance with the requirements of the design brief and the following standards:
Drawing Nos. Title Revision

Standard(s) Title Revision

Calculations Reference

Other relevant documentation

e.g. RAMS, hold points, inspection requirements, etc.

Significant residual hazards to be communicated to the construction team:

Lead Designer:
To be signed by the temporary works designer (or other person authorised to sign):

Signed: Name: Title: Date:

Design Manager:
To be signed by the person authorised to sign on behalf of the organisation responsible for the temporary works design:

I certify that the staff who have prepared the above-noted design are competent to carry out their
duties and that (so far as I can reasonably ascertain) they have used reasonable professional skill and
care.
Signed: Name: Title: Date:

21
Form No. 8
EXAMPLE - Design Check Certificate

DESIGN CHECK CERTIFICATE FORM NO. 8

Reference No. Design Brief No.
Contract: Temporary Works:
Scope of Work: Design Check
Category:
Design Company: Lead Designer:
I certify that reasonable professional skill and care has been used in the checking of the above-noted
temporary works design, which is described by the following drawings, and that the design is in
accordance with the requirements of the design brief and the following standards:
Drawing Nos. Title Revision

Standard(s) Title Revision

Calculations Reference

Other relevant documentation:

e.g. RAMS, hold points, inspection requirements, etc.

Comments on calculations and drawings:

Relevant calculations prepared by the checker (Copy attached):

Action required:

Temporary Works Design Checker:

To be signed by the temporary works design checker (or other person authorised to sign):

Signed: Name: Title: Date:

Design Manager:
To be signed by the person authorised to sign on behalf of the organisation responsible for the temporary works design check:

I certify that the staff who have prepared the above-noted design check are competent to carry out their duties
and that (so far as I can reasonably ascertain) they have used reasonable professional skill and care.
Signed: Name: Title: Date:

22
Form No. 9
EXAMPLE - Record of Inspection

RECORD OF INSPECTION FORM No. 9

Contract details: Sheet No.

Site address: Inspection carried out for:

Inspection of: e.g. scaffold, excavation, falsework, formwork, etc.

Ref: Date and time: Location and Matters observed that Details of action taken at Details of any further Name, signature and
description of item may give rise to health time of inspection: action considered position of Inspector:
inspected: and safety risks: necessary:

23
Form No. 10
EXAMPLE - Permit-to-work
PERMIT-TO-WORK FORM No. 10
Contract: Contract No:
Temporary Works Co-ordinator: Temporary Works Supervisor:
As appointed As appointed
Temporary works:
As described in Temporary Works Register (with reference number)
Specific location(s) on site: Further clarification may be required, e.g. specific bay or group of bays to be poured or specific floor level
etc.
DRAWINGS
Drawing Number Rev. Item Other
Identification number of
drawing(s) showing the design Potential to add reference to
Latest issue
from which the temporary RAMS
works will be built

PART 1 - PERMISSION TO PROCEED TO NEXT STAGE

Ready for Inspection Checked By
Inspection Stage
TWS Date TWC Date
e.g. Excavation for foundations Signed Signed
e.g. Foundations complete Signed Signed
e.g. Further stages as agreed Signed Signed

PART 2 - PERMIT-TO-LOAD/PROCEED/ PUT INTO USE

The temporary works listed above may be put into use subject to the following items being completed and signed off:
Items Checked by TWS Date
Snagging list of any outstanding items
requiring attention following initial
Signed
inspection or by previous agreement with
TWS

If the temporary works scheme is not loaded by the following date then the Date:
scheme requires to be re-inspected prior to loading:
Signed (TWC): Date:

PART 3 - PERMIT TO UNLOAD/PROCEED/TAKE OUT OF USE

The above works may be removed subject to the following items being completed and signed off by TWS.
Items Checked by TWS Date
For falsework striking, minimum concrete cube strength to be determined by structural
Signed
engineer
Designer may specify a particular sequence of removal. Should be included within RAMS.
Signed (TWC): Date:

EDITORIAL NOTE:
The company should check whether this template needs to reflect any other requirements, e.g. client,
etc. (particularly on large projects, where additional signature(s) may be required).