Information

  • Item of plant being surveyed.

  • Approximate age of plant

  • Document No.

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Take a photo of the area inspected.

Platforms

  • Grating / Platform condition.

  • Add media

  • Walkway clips

  • Add media

  • Kickrails

  • Add media

  • Handrails, Midrails, Stanchions

  • Add media

  • Pit covers

  • Add media

Stairs / Ladders

  • Treads / runs

  • Add media

  • Handrails

  • Add media

  • Ladders cages

  • Add media

  • Gates/closures

  • Add media

Structural Members

  • Columns

  • Add media

  • Beams

  • Add media

  • Bracing

  • Add media

  • Wall sheeting

  • Add media

  • Roof sheeting

  • Add media

  • Bolted connections

  • Add media

  • Welded connections

  • Add media

  • Concrete floors

  • Add media

  • Concrete walls

  • Add media

  • Concrete footings

  • Add media

  • Enter any additional comments

  • Do you recommend an independent structural engineer is engaged to carry out a more detailed assessment?

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.