Area Supervisor quick Scaffold Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Inital inspection

• 1.1 - Has the scaffold got a Scaffold tag on it?

  Yes

  No

  N/A

• Add media

  Media

• 1.2 - Has the scaffold tag been sign off in the last 7 days, indicating the scaffold has been inspected ?

  Yes

  No

  N/A

• 1.3 - Step back and have a good look at the scaffold. Does it look safe?.

  Yes

  No

  N/A

• 1.3.1 - If it looks unsafe what are the issues that you can see.

  Yes

  No

  N/A

• Add media

  Media

2.0 - Site compliance & Competency

• 2.1 - Do staff on site have a current HNZ ID Card

  Yes

  No

  N/A

• 2.2 - Has all the onsite staff , scaffold crew read, and signed the current risk and method statement?

  Yes

  No

  N/A

• 2.3 - Has the scaffold been erected by a certified scaffolder (if over 5 mtrs) or by a competent person(if under 5 mtrs)?

  Yes

  No

  N/A

• 2.4 - Has the certificed scaffolder got a copy of thier scaffold licence on them- is it valid?.

  Yes

  No

  N/A

• Add media

  Media

3.0 - Regulatory compliance

• 3.1 - If over 5 mtrs , has the scaffolder notified Worksafe and there is a copy of the notification on site.

  Yes

  No

  N/A

• Add media

  Media

• 3.2 - Is the risk and method statement relevant to the current scaffold task?

  Yes

  No

  N/A

4.0 - Material storage and housekeeping

• 4.1 - Was there evidance of good stacking and storage practices observed

  Yes

  No

  N/A

• Add media

  Media

• 4.2 - Access ways kept clear

  Yes

  No

  N/A

• 4.3 - Is the work zone cordoned off with the safety signs in place?

  Yes

  No

  N/A

• 4.4 - Is there a safe access for the tenant

  Yes

  No

  N/A

• 4.4.1 - Has the Tenant signed the Scaffolding acknowledgment form

  Yes

  No

  N/A

• Add media

  Media

5.0 - Basics Workmanship/Structural Integrity

• 5.1 - Is the scaffold erected with toe boards on all levels above head height.

  Yes

  No

  N/A

• Add media

  Media

• 5.2 - Are all of the levels fully decked.

  Yes

  No

  N/A

• Add media

  Media

• 5.3 - Are the ladders secured at both ends , approx 1 m in every 4m up, angle and in good order

  Yes

  No

  N/A

• Add media

  Media

• 5.4 - Are all the platforms fully guarded with mid rails (450mm ) and top rails (900-1100mm) rails?

  Yes

  No

  N/A

• Add media

  Media

• 5.5 - Are trapdoors/gates or barriers provided at key ladder access points?

  Yes

  No

  N/A

• Add media

  Media

• 5.6 - Are the base plates suitable (15cm x 15 cm)

  Yes

  No

  N/A

• Add media

  Media

• 5.7 - Are the Sole plates suitable size and condition ( 500 mm x 200 mm x 38 mm thick)

  Yes

  No

  N/A

6.0 - Personal Protective Equipment - Sufficient and correctly being worn

• 6.1 - Hard hat

  Yes

  No

  N/A

• 6. 2 - Gloves (various types for site conditions)

  Yes

  No

  N/A

• 6. 3 - Ear protection

  Yes

  No

  N/A

• 6. 4 - Eye protection

  Yes

  No

  N/A

• 6. 5 - High Visibility vest or garment

  Yes

  No

  N/A

• 6.6 - Harness & Lanyard correctly applied and adjusted

  Yes

  No

  N/A

• Add media

  Media

7.0 - Lifting operations

• 7.1 - Is the area below the lifting point cordoned off

  Yes

  No

  N/A

• 7.2 - Have the users knowledge of knots

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign