Information

  • Document No.

  • Daily Scaffold inspection

  • Conducted on

  • Prepared by

Masonry Inspection

General Information

  • Job Name & No.

  • General Comments

  • Point of reference - elevation, column line, Unit

  • Add media

Inspection

  • Add media

  • Are mud sills and base plates being used<br>

  • Is a safe means of access provided to working platform

  • Does ladder extend 3' above work platform

  • Is ladder secured to prevent displacement

  • Is ladder installed as scaffold is erected to provide access for erectors

  • Are all areas below and around scaffold barricaded to prevent workers from walking under scaffold

  • Are scaffold frames plumb and level

  • Are scaffold frames pinned together to prevent displacement

  • Are cross braces used at all locations

  • Are frames and braces compatible

  • Are all components free of damage

  • Are all accessible platforms planked solid

  • Are all platforms at least 18" wide

  • Is work platform maximum 14" from wall

  • Do all plank over lap 6" - 12"

  • Are all plank free of damage, splits, etc

  • Are platforms kept clear of unnecessary material and debris

  • Are guardrails installed on all platforms

  • Is top rail between 38" - 48" high and capable of supporting 200 lbs

  • Is mid-rail between 20" - 30" high and capable of supporting 200 lbs

  • Are end guard rails with toe boards in place

  • Are all material platforms equipped with toe boards

  • Are scaffolds tied off once scaffold is 4 times higher than its base (6'6" scaffold should be tied at 20')

  • Are scaffold tie offs repeated every 26' vertically after first set of ties

  • If scaffold needs to be tied off, is it tied off at both ends of scaffold and max 30' apart

  • Is scaffold at a safe distance from power lines

  • Observations or Comments

  • Actions Taken

  • Add media

  • Foreman's Signature

  • Inspector Signature

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