Title Page

  • Conducted on

  • Prepared by

  • Location
  • City or Town

  • Structure #

  • Panel/Face Number(s)

  • Face Size

General Condition

Walk Around Inspection

  • Obvious defects, i.e. is structure leaning?

  • Note any obvious hazards:

FOUNDATION-FOOTING INSPECTION

All Foundations: (Important! Must dig down to concrete if it is below ground level)

  • * Are there any obvious cracks in concrete?

  • * Are there any voids where concrete meets ground?

  • * Are there any voids between concrete and column

  • * Are all nuts on anchor bolts and are they tight?

  • * Is there excessive rust on anchor bolts?

  • * Are all welds around base plate in good shape?

  • * Are all welds around gusset plates in good shape?

  • Comments

BOLTS AND WELDS

Angle Iron

  • * Check all welds around angle for obvious cracks

  • * Any voids in welds

  • * Any material failure

  • * Any shimming in weld area with foreign objects

  • * Are there any nuts or bolts missing?

  • * Are all connecting nuts and bolts tight?

  • * Is there excessive rust on nuts and bolts?

  • * How is overall quality of the welds?

Materials:

  • * Is there any deformation of clips to uprights?

  • * Is there any deformation of gussets to uprights?

  • * Is there any twisting of deformation of uprights?

Condition of welds:

  • * Clips to uprights

  • * Clips to outriggers

  • * Clips to stringers

  • * How is overall condition?

  • Comments:

ACCESS LADDERS

Materials:

  • Are There Fixed Access Ladder?

  • * Are there an ladder rungs missing?

  • * Are any ladder rungs bent?

  • * Are all bolted connections secured?

  • * Welds on tabs from ladder structure

  • * How is overall condition?

  • Comments:

CATWALK - PLATFORMS

CATWALK - PLATFORMS

  • Are There Catwalks Installed?

  • * Connections - catwalk to walk arms

  • * Connections - catwalk to walk around catwalk

  • * Condition of steel grating

  • * How is overall condition?

  • Comments:

GENERAL INFORMATION

  • Is There An Electrical Service?

  • * The condition of the light fixtures

  • * The condition of electrical service

  • * Are all lights working?

  • * Is the time clock set to the correct time?

  • * Are there any power line problems?

  • * Does the structure need painting?

  • Are There Safety Cables?

  • * Are safety cables-life lines in good condition?

  • * Are safety cables secured correctly on all catwalks?

  • * Is the ADAMS logo fastened correctly (centered on skirt)

  • *Are the ladder safety cables installed properly and in good condition

ADDITIONAL COMMENTS And Signature

  • Note any areas of importance or concern

  • Additional Photos

  • Signature of Inspector

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.