Ad-Hoc Scaffold Inspection Form

• Quote Number

• Client

• Site conducted

• Location
  Address

• Site Foreman

• Date of Inspection

  Date

• Inspector Name

• Time on Site

  Date

• Description of on-site activities being carried out at the time of inspection

• SITE ACCESS

• Is the ground leading up to working area clean & level?

  Yes

  No

• Have the RAM's been updated to reflect the unsafe condition

  Yes

  No

• Is site access controlled

  Yes

  No

• Photo of Site Access

  Media

• Are all operatives wearing the correct PPE for the task in hand

  Yes

  No

1.0 - Site Specific Documents

• 1.1 - Is a bespoke design configuration applicable to the scaffolds constructed on-site?

  Yes

  No

  N/A

• 1.1A - Do all completed/handed over design scaffolds have a "Working Design"

  Yes

  No

• 1.1B Are all designed scaffolds erected in accordance with the supplied design drawings?

  Yes

  No

  N/A

• 1.2 Is TG20 applicable to the scaffolds constructed on-site?

  Yes

  No

• 1.2A - Have Compliance Sheets been issued to the client for all TG20 scaffolds erected and are they available on site?

  Yes

  No

  N/A

• 1.2B Are all scaffold's erected in accordance with the supplied TG20 compliance sheets

  Yes

  No

  N/A

• 1.3 Are any system scaffolds constructed on-site?

  Yes

  No

• 1.3A - What type of system scaffold is in use

  Select N/A Haking Staircase Layer Cuplock

  • N/A
  • Haking Staircase
  • Layer
  • Cuplock

• 1.3B - Is the system scaffold erected in accordance with the manufacturer's instructions?

  Yes

  No

  N/A

• 1.4 - Has Anchor Testing been undertaken in accordance with TG4:19 and have certificates been completed?

  Yes

  No

  N/A

• 1.5 - Is a Scaffold Inspection Register in place and up to date?

  Yes

  No

  N/A

• 1.5b - Are 'Scafftags' in use on-site and have they been signed within the previous 7 days and completed to an acceptable standard?

  Select Yes No N/A - The scaffolds observed are not completed

  • Yes
  • No
  • N/A - The scaffolds observed are not completed

• Information - Tagging a scaffold as safe to use is not a legal requirement, but is regarded as being good practice and is therefore strongly recommended. However, tagging a scaffold that is unsafe, incomplete, or under adaption is a legal requirement and should be undertaken in all circumstances until such time as the scaffold is confirmed as being safe to use and fit for purpose. The Work At Height Regulations 2005 state that "While a scaffold is not available for use, including during its assembly, dismantling or alteration, it shall be marked with general warning signs in accordance with the Health and Safety (Signs and Signals) Regulations 1996 and be suitably delineated by physical means preventing access to the danger zone"

  

2.0 - Construction and Workmanship of Scaffolds

• 2.1 - FOUNDATIONS - Were foundations adequate and suitable for the scaffolds observed?

  Select Yes No

  • Yes
  • No

• 2.2 - STANDARDS - Were standards adequately installed? (Consider level, joints, connections & spacing etc)

  Select Yes No

  • Yes
  • No

• 2.3 - LEDGERS - Were ledgers adequately installed? (Consider level, joints, connections & spacing etc)

  Yes

  No

• 2.4 - TRANSOMS - Were transoms adequately installed? (Consider spacing, extension & connections etc)

  Yes

  No

• 2.5 - COUPLERS - Were couplers of the correct variety & used appropriately?

  Yes

  No

• 2.6 - BRACING - Was bracing installed correctly & in line with the design/TG20 compliance sheet/manufacturer's instructions provided?

  Yes

  No

• 2.7 - STABILITY - Were scaffolds adequately tied or stabilised?

  Yes

  No

• 2.8 - PLATFORMS - Were working platforms correctly boarded, boards of good quality and platforms of adequate dimension for the activities being undertaken?

  Yes

  No

• 2.9 - GUARDRAILS - Were guardrails adequately installed on all working platforms and set at the correct height?

  Yes

  No

• 2.10 - TOE BOARDS - Were toe boards adequately installed on all working platforms, correctly supported and in good condition?

  Yes

  No

• 2.11 - BRICK GUARDS - Were Brick guards installed on all working platforms, if required by risk assessment?

  Yes

  No

  N/A

• 2.12 - NETTING/SHEETING - Was netting/sheeting installed and in accordance with the specification of the design/compliance sheet?

  Yes

  No

  N/A

• 2.13 - ACCESS/EGRESS - Was access and egress to the scaffold safe, appropriate and without undue risk to scaffold users?

  Yes

  No

• 2.14 - LOADING BAYS - Were loading bays constructed in accordance with the provided design specification/TG20?

  Yes

  No

  N/A

• 2.15 - PUBLIC PROTECTION - Are public protection measures required and are they in place and adequate?

  Yes

  No

• 2.16 Housekeeping

  Good practice observed

  Bad practice observed - Minor

  Bad practice observed - Major

• 2.17 Additional Items

• Additional comments/notes (if applicable)

• Sign off from person compiling report

  Sign

• Sign off from site foreman

  Sign