Form 16 - Inspection Certificate - 171 Ewarts Road, Cooran

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7. Building certifier reference number and building development approval number

Pacific BCQ’s Ref. Number.         20230251                        Development approval number           20230251


8. Building Certifier’s Decision

The Stage of Building Work identified in Section (1) is Approved and work may progress to the next Mandatory Stage of Inspection listed
on the Decision Notice.


9. Building Certifier

Name (in full)                         Don Grehan

Company name (if applicable)           Pacific BCQ

Business phone number                  07 54121 520

Email address                          [email protected]

Postal address                         PO Box 1901 Noosaville BC Q 4566

Licence class                          Level 1 Building Surveyor Class A

Licence No.                            A739669


9. Signature of the Building Certifier

Signature                                                                                         Date    25 October 2023


LOCAL GOVERNMENT USE ONLY

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




Building Regulation 2021 • Section 53 • Form 16 • Version 2 • March 2023                                                        Page 2 of 4

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                                                 Appendix – explanatory information

IMPORTANT NOTE: a competent person who knowingly or reasonably suspects the information they are giving to the building
certifier is false or misleading, including the information contained in this certificate (Form 16), commits an offence and is liable
to a maximum penalty of 100 penalty units.
Who can complete this certificate? (sections 10 of the Building Act 1975 (Building Act) and 53(2) of Building Regulation 2021
(BR 2021)).
This form must be completed and signed by a building certifier for the work or another building certifier or the appointed
competent person (inspection) – the inspecting person.
When is a Form 16 needed?
This form is to be completed when an inspecting person inspects a stage of assessable building work, as stated in a notice for
inspection and is satisfied that all relevant aspects of the stage of work have been completed and comply with the building
development approval for the work.
The inspection time for a stage of work is to be agreed between the builder and building certifier and must be carried out by the
inspecting person in accordance with best industry practice.
If satisfied the stage is compliant the inspecting person must give the builder for the stage of work the completed and signed
Form 16. The regulation requires the inspecting person to provide the reasons why they are satisfied all aspects of the stage are
completed and compliant, including any tests, specifications, rules, standards, codes of practice or other publications relied
upon when making the assessment.
The inspecting person may rely on an aspect certificate from an appointed competent person (inspections), (Form 12 – Aspect
inspection certificate) or a QBCC licensee (Form 43 – Aspect certificate (QBCC licensee)).
Restrictions for who can sign a Form 16 (section 46 of the BR 2021)
For a single detached class 1a building and class 10 building or structure only the building certifier for the assessable building
work, or another building certifier, can sign the certificate of inspection (Form 16) for the following stages:
   after the excavation of foundation material and before the concrete for the footings, or slab, for the building or structure is
    poured (foundation/excavation stage)
   if the building or structure is to have footings – after the placement of formwork and reinforcement for the footings but before
    the concrete for the footings is poured (footings stage)
   if the building or structure is to have a slab – after the placement of formwork and reinforcement for the slab but before the
    concrete for the slab is poured (slab stage).
   the final stage of the work (for swimming pools, the final stage is at the completion of the pool and its fencing and, if no
    temporary fence for the pool was constructed, before the pool is filled with water to a depth of 300mm or more).


In addition to the stages above for a building development approval, if the structure is a swimming pool that includes a
temporary fence, only the building certifier for the assessable building work, or another building certifier, can sign the certificate
of inspection (Form 16) for the following stages:
   on the completion of the construction of the temporary fence and before the pool is filled with water to a depth of 300mm or
    more
   before an extension is given to extend the period within which the temporary fence must be constructed.


The relevant building certifier can use another building certifier to inspect the stages mentioned above, without assessing and
appointing the person as a competent person.
While the building certifier can accept a competent person’s aspect inspection certificate (Form 12) as part of their compliance
assessment for the stage of work, it remains the building certifier’s responsibility to complete and sign the Form 16 for the
stages of work mentioned above.
Nothing prevents a competent person (inspection) who is not a building certifier from giving inspection help for an aspect of a
stage mentioned above. However, for a single detached class 1a building or a class 10 building or structure, the building certifier
must not accept an aspect inspection certificate for all aspects of the final stage.
Competent person (section 10 of the Building Act and Part 6 of the BR 2021)
A building certifier must assess and decide to appoint an individual as a competent person before they can, as a competent
person, give inspection help. The building certifier is required to keep detailed records about what was considered when
appointing a competent person.
A competent person cannot give inspection help to a building certifier until they have been appointed by the building certifier.
For further information about assessment of someone as a competent person refer to the Guideline for the assessment of
competent persons.
Inspection help (section 34 of the BR 2021)




Building Regulation 2021 • Section 53 • Form 16 • Version 2 • March 2023                                                    Page 3 of 4

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A building certifier must be satisfied that an individual is competent to give the type of inspection help having regard to the
individual’s experience, qualifications, and skills and if required by law to hold a licence or registration, that the individual is
appropriately registered or licensed.
For further information about conducting inspections for class 2 to 9 buildings, refer to the Guideline for inspection of class 2
to 9 buildings.
For further information about conducting inspections for detached class 1a and 10 buildings or structures refer to the Guideline
for inspections of class 1 and 10 buildings and structures.
Additional information
It is considered good practice for a building certifier or appointed competent person who is accepting and relying on this form
and any attached certificates i.e. aspect certificates, to check the information or details contained in the form.
This form is also the inspection certificate to be used for temporary swimming pool fencing.
Aspect certificates– go to the Business Queensland website to access all building forms
Form 43 – Aspect certificate (QBCC licensee) – for aspect work for a single detached class 1a building and class 10 buildings
and structures a building certifier or the appointed competent person can accept and rely on Form 43, the approved form from a
QBCC licensee with the appropriate licence class that the work is compliant with the building development approval.
Form 12 – Aspect inspection certificate (appointed competent person) – for aspects of a stage or other aspect work for all
classes of buildings and structures the building certifier may accept and rely on a Form 12 from an appointed competent person
stating the aspect work is compliant with the building development approval.
Form 30 – QBCC licensee aspect certificate for Accepted development (self-assessable) – section 70 allows the QBCC
licensee to give a Form 30 to the builder for the building work or the owner of the building, stating the subject aspect work
complies with the relevant provisions, standards and codes.




PRIVACY NOTICE

The Department of Energy and Public Works is collecting personal information as required under the Building Act 1975. This
information may be stored by the Department, and will be used for administration, compliance, statistical research and
evaluation of building laws. Your personal information will be disclosed to other government agencies, local government
authorities and third parties for purposes relating to administering and monitoring compliance with the Building Act 1975.
Personal information will otherwise only be disclosed to third parties with your consent or unless authorised or required by law.
be disclosed to third parties with your consent or unless authorised or required by law.




Building Regulation 2021 • Section 53 • Form 16 • Version 2 • March 2023                                                       Page 4 of 4