LATE - Attachment E - Form 15

 Contact person                         Mark Cumming

 Business phone number                  (07) 5443 7777                                  Mobile

 Email address                          [email protected]

                                        PO Box 16
 Postal address


                                                                             Suburb/locality     Maroochydore

 State                                  QLD                                  Postcode            4558

 Licence class or registration
 type (if applicable)

 Licence or registration number
                                        Registered Professional Engineer of Queensland – RPEQ 5805
 (if applicable)




9. Signature of appointed competent person
This certificate must be signed by the individual assessed and appointed by the building certifier as competent to give design-
specification help.

 Signature                                                                                       Date   25/08/2023


LOCAL GOVERNMENT USE ONLY

 Date received                      Click or tap to enter a date.     Reference number/s




                                                Appendix – explanatory information

IMPORTANT NOTE: it is an offence for a competent person to give a building certifier a document, including this form, that the
person knows or reasonably suspects, is false or misleading.

Who can complete this certificate? (sections 10 of the Building Act 1975 (Building Act) and 73 of Building Regulation 2021
(BR 2021))

A building certifier can accept from a competent person (design – specifications) a certificate stating that the competent person
has assessed the building design or specification for the aspect of building work, and it will, if installed or carried out under the
certificate, comply with the building assessment provisions, including any relevant standards and codes.

Schedule 10 of the BR 2021 defines building design or specification as any material, system, method of building or other thing
related to the design of or specifications for building work.

For a competent person to meet the regulation requirements (section 77 of the BR 2021) they must substantially complete all
sections of this form, including information, such as the design of a particular material, system, method of building or that a
building element complies with the Building Code of Australia or a provision of the Queensland Development Code. It is also
important that the details of the relevant reference documents are included, for example, the applicable Australian Standards or
other technical provisions that may be applicable to the subject work.

What is the purpose of this form? (section 10 of the Building Act 1975)

The information in this form informs the building certifier’s decision making when they are assessing a building development
application and issuing the building development approval for the building work the subject of the certificate (form).

When is this form not required?

The assessment of some building applications will be entirely within the expertise of the relevant building certifier and therefore
they may not seek the help of a competent person. In these instances, this form is not required.




Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 1 • September 2021                                        Page 3 of 4