Title Page

  • Conducted on

  • Prepared by

  • Location
  • Is the scaffolding with a deck of 4 metres or more, or any scaffold where there is a drop or a fall of 4 metres or more, erected with a person who holds a high risk work licence ( scaffold ) AS 4546:1995 Guidelines for scaffolding & Victorian Eorkcover authority high risk work licence requirements?

  • Has scaffold been inspected and signed off Prior to use and thereafter every 30 days (AS4576)?

  • Has the scaffold been erected on firm and level ground ?

  • Have compatible and approved scaffold components being used ?

  • Are regular maintenance and inspections being carried out by a licensed scaffolder ?

  • Is there a plant maintenance register ?

  • Are the records of all inspections and sign offs kept on-site ?

  • Is there a need for perimeter screening and encapsulation?

  • Is there safe access and egress to and from working platforms ? (AS/NZs 1576 3.6)

  • Are ladder and stair treads in good condition?

  • Is incomplete scaffold appropriately closed and signage installed to prevent unauthorised access ?

  • Is the base of the scaffold protected by hard barricade, where there is a risk of being struck by moving plant ?

  • Are the soul boards checked on a regular basis and after weather events ?

  • Has there been a plant design register developed ? AS/NZ 1576.1

  • Are there ties being used in the correct places and intervals as directed by the scaffold plans ?

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