INSPECTION - Producer Statement / Memoranda / Certificates Checklist ASSESSMENT OF DOCUMENTATION RECEIVED BC Number: Key for statement types: As-laid drainage (ALD) Cladding (CL) Electrical Cert (EL) Electrical Plan (EP) Engineer / Designer (PS4) Gas Cert (GS) Glazing (GL) Insulation (IN) Pressure test (P) Smoke alarm (SM) Sprinklers (SP) Surveyors confirmation of height / siting (SV) Waterproofing (WP) Solar systems (S) Truss layout (TR) Under floor / tile heating (H) Other (O) [specify] ...................................................................................…………................ Reason for Outcome Decision Regarding Document Decision Regarding Author decision of Contents Registration decision / Y / P = content (Check registers on line Accept adequate / & attach printout) author approved document / other reason OR ( / Y / P = Pass / N / F = Fail I / - / NA = Not Applicable) Reject above / N / F = document content key inadequate / author not See approved / other description [specify other reasons below #] Header Legal / / Record the Author’s Name Drainlayers) type signature (parts) (Not the company name). If work) & Architects) author is providing more identified Address Code than one document, list and Work (Engineers) assess each document) Site Date B. Name (Reg. (Energy (Plumbers, Statement Insurance # Reason for decision (Use this area for “other” statement types, or for giving reasons for decisions where a statement is not complete or an author is not registered, but you are accepting their statement) (NOTE: Electrical Certificates: Is it signed and dated?)
INSPECTION - Producer Statement / Memoranda / Certificates Checklist ASSESSMENT OF DOCUMENTATION RECEIVED BC Number: Key for statement types: As-laid drainage (ALD) Cladding (CL) Electrical Cert (EL) Electrical Plan (EP) Engineer / Designer (PS4) Gas Cert (GS) Glazing (GL) Insulation (IN) Pressure test (P) Smoke alarm (SM) Sprinklers (SP) Surveyors confirmation of height / siting (SV) Waterproofing (WP) Solar systems (S) Truss layout (TR) Under floor / tile heating (H) Other (O) [specify] ...................................................................................…………................ Record the Author’s Name (Not the company name). If author is providing more than one document, list and assess each document) Decision Regarding Document Contents Decision Regarding Author Registration (Check registers on line & attach printout) Reason for decision / Y / P = content adequate / author approved / other reason / N / F = content inadequate / author not approved / other [specify other reasons below #] Outcome of decision Accept document OR Reject document Statement type / Header See key above ( / Y / P = Pass / N / F = Fail I / - / NA = Not Applicable) Site Address / Legal description Insurance Date B. Code (parts) Work identified Name & signature (Engineers) (Reg. Architects) (Energy work) (Plumbers, Drainlayers) # Reason for decision (Use this area for “other” statement types, or for giving reasons for decisions where a statement is not complete or an author is not registered, but you are accepting their statement) (NOTE: Electrical Certificates: Is it signed and dated?)
PS_02-PS-checklist-2016-07-22.docx