Title Page

  • Site

  • Date & time

  • Inspected by

  • Position

Introduction

  • The purpose of today's visit was to carry out health, safety and scaffolding management, non-statutory scaffold review at the above site in accordance with Work at Height Regulation 2015, (WAHR).
    In addition to following the general principles of health and safety management, the Health and Safety at Work etc. Act 1974, the Management of Health and safety at work Reg 1999 and any relevant legislation.

    To ensure the scaffolds are assembled, altered, and dismantled following, TG20:21 A comprehensive guide to good practice for tube & fitting scaffolding, SG4:2 preventing falls in scaffolding operations and bespoke designs, and manufacturer's specifications. Including NASC Health, safety and technical guidance.

Administration

  • Is there evidence that the last inspection report had been reviewed and actioned by management?

  • Item
  • Description and location?

  • Previous action required?

  • Has this item been actioned?

  • Can works be carried out safely whilst minor observations are rectified?

  • If not, name of person informed?

  • Details of action taken at time of inspection?

  • Details of any further action considered necessary?

  • Action category?

  • Action by?

  • Records examined
  • Document type?

  • Category?

Personnel

  • Scaffold charge hand

  • Total number of operatives on site?

Operative health and safety concerns

  • Were any health and safety concerns raised onsite?

  • Operative health and safety concerns
  • What is the concern raised?

  • Can works be carried out safely?

  • If not, name of person informed?

  • Details of action taken at time of inspection?

  • Details of any further action considered necessary?

  • Action category?

Personal Protective Equipment

    Operative
  • Name?

  • Position?

  • Is the operative wearing PPE?

  • Is the operative wearing their harness?

  • Is the harness in good condition and suitable for the task being undertaken?

Protection of the public, site personnel and others

    Area
  • Description and location of work area

  • What measures are in place?

  • Are the measures suitable for the works

  • Details of action taken at time of inspection?

  • Details of any further action considered necessary?

  • Action category?

  • Action by?

  • Action by?

The Scaffolders' safe zone (SG4:22)

  • The primary objective of the Scaffolder is the creation of a ‘safe zone’ which must consist of the following as a minimum:
    Is the temporary platform fully boarded and correctly supported without gaps through which someone could fall?
    Is a single main guardrail (minimum 950mm above the platform) fixed to all elevations where the risk of a fall exists?

  • Work area
  • Description and location of works

  • Is the temporary platform fully boarded and correctly supported without gaps through which someone could fall?

  • Is a single main guardrail (minimum 950mm above the platform) fixed to all elevations where the risk of a fall exists?

  • Does the scaffold appear to be assembled in accordance with NASC SG4:22?

Welfare Facilities

  • Are the welfare facility's sufficient, ready available, maintained, kept clean and properly lit? <br>

  • Are there facilities provided to change, dry and store clothing? <br>

  • Mess facilities include a place where workers can sit, make hot drinks and prepare food with wholesome drinking water and cup provided. <br>

  • Comments

  • Further comments/observations
  • State comment/observation

  • Assessor signature

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