Title Page
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Site conducted
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SCAFFOLD INSPECTION CHECKLIST.
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SCAFFOLD REFERENCE :
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Reason for Inspection
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COMPLETED BY :
Inspection Guide
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Disclaimer
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The inspector believes the information contained within this Inspection report to be correct at the time of printing/date of inspection. The inspector does not accept responsibility for any consequences arising from the use of the information herein. The Inspection report is based on matters which were observed or came to the attention of the inspector at the time of the assessment of the scaffolding and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made.
Information and guidance on the frequency of visits and level of competency of the inspector, can be found on the HSE website, under the heading Scaffold Inspection.
Confidentiality Statement:
To maintain the integrity and credibility of the risk assessment processes and to protect the parties involved, it is understood that the inspector will not divulge to unauthorized persons any information obtained during this assessment unless legally obligated to do so.
Register
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(1) Name & Address of the Company / person on whose behalf the inspection was carried out:
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James Moorcroft
Compliance and Contracts Manager
Chrisalis Refurbishment
68 Brownhill, London
SE6 2EW -
(2) Location of Scaffold :
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(3) Description of Scaffold
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(3) SELECT LOAD CLASS :
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THE SCAFFOLD HAS BEEN ERECTED FOR THE FOLLOWING WORK ACTIVITY :
- Roofing
- General Painting Decorating
- Inspection
- Stone Cleaning
- External Rendering
- OTHER
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PLEASE PROVIDE INFORMATION;
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(4) Date and Time of Audit :
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Scaffold Elevation Photographs
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FOOTINGS : Are all footings satisfactory ?
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BRACING : Is bracing adequate and securely fixed ?
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BOARDING (Working Platform) :
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STANDARDS :
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COUPLINGS :
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GUARD RAILS AND TOEBOARDS
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LEDGERS
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TIES :
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LADDERS :
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ACCESS GATES :
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PROTECTION FOAM :
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SIGNAGE : Is the Scaffold Safety Signs installed to scaffold ?
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Please take Photograph to show that the scaffold safety signs are installed to the scaffold.
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Please set an action to install the Scaffold Safety Signage.
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Report
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(5) In addition to any actions already identified in this inspection are there any other matters identified that could give rise to a risk to the health or safety of any person
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Please give details of any matter identified that could give rise to a risk to the health or safety of any person
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(6) Can work activities be carried out safely ?
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(7) Are you the supervisor or manager with over control and responsibility for this project ?
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Please enter the time and date of this inspection and sign in the relevant boxes on to the green scafftag.
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Please take Photograph of Completed Scafftag.
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(8) Record Details of any actions taken as a result of any matter identified in this inspection report.
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(9) Details of any further action considered necessary.
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(10 a) Please enter your job title / position.
- Contract Manager
- Site Manager
- Site Supervisor
- Safety Manager
- External Inspector
- Other
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(10 b) Please enter your name.
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(11) Date and time of inspection :
