Compliance Inspection Sheet - Scaffolding

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation Criteria

• Is the scaff-tag appropriately displayed at the entry point to the scaffold indicating its status for use

  Safe

  At Risk

  N/A

• Has the scaffold been inspected for the current period, weekly as a minimum

  Safe

  At Risk

  N/A

• Are cables and leads suspended from the scaffold supported on insulated hanger/hooks

  Yes

  No

  N/A

• Is the loading on the scaffold in conformance to the scaffold rating (light, medium or heavy) duty stage

  Safe

  At Risk

  N/A

• Is the scaffold appropriately tied in

  Yes

  No

  N/A

• Is the scaffold appropriately supported on sole boards

  Safe

  At Risk

  N/A

• Ladders secured, 1.4 metre lean, project 1 metre above platform

  Safe

  At Risk

  N/A

• Clear access egress points to scaffolds

  Safe

  At Risk

  N/A

• Sharp edges and scaffold clips covered on walkways

  Safe

  At Risk

  N/A