Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous Inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there any outstanding actions?

2.0 - Training & Compentency

  • 2.1 - Has all the current scaffold crew read and signed the current risk assessment

3.0 - Information, Instruction

  • 3. 1 - What was the last toolbox talk

  • 3. 2 - When was the last subject the talk was given

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

4.0 - Material storage and housekeeping

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

  • 4.2 - Access ways kept clear

5.0 - Vehicle Movement controls

  • 5.1 - Traffic routes sufficient for safe and easy movement

  • 5.2 - Vehicles and pedestrians segregated

  • 5.3 - Designated loading areas clearly marked out

  • 5.4 - Pedestrian routes clearly marked out

6.0 - Work At Height

  • 6.1 - Is the scaffolding task being carried out in accordance NASC SG4:10 with the use of the advanced guardrail system

  • 6.2 - Is there evidence of adopted of tunnelling technique for raising the boards from below

  • 6.3 - Vehicle base fall protection installed around the lorry bed

  • 6.4 - Rescue plan in place and relevant to the scope of works

7.0 - Fall Protection Equipment

  • 7.1 - Is there evidance of three-montly inspection and recording of fall arrest equipment up to date.

8.0 - Welfare

  • 8.1 - Mess facilities are clean and tidy with sufficient seating

  • 8.2 - Toilet facilities are clean and tidy

  • 8.3 - Toilet facilities with soap, hand towels, hot and cold water

  • 8.4 - Facilities to dry wet clothing

  • 8.5 - Secure facilities for own clothing and work wear

  • 8.6 - Kettle and means of heating food

9.0 - Workmanship/Structural Integrity

  • 9.1 - Is the scaffold erected in accordance with NASC TG20:08 (basic scaffolds) or design

  • 9.2 - Are there sufficient number of ties, using correct fittings, and across two standards

  • 9.3 - Are the ladders secured at both stiles, correct angle and in good order

  • 9.4 - Are all the platform fully boarded with guardrails correctly fixed

  • 9.5 - Are trapdoors/gates or barriers at key ladder access points

10.0 - Signage

  • 10. 1 - Standard safety signage posted at the key locations (incomplete & do not use)

  • 10. 2 - Is the scaff tag signed and displaying the relevant date

11.0 - Material control

  • 11. 1 - Company procedures for checking, maintaining plant & equipment being implemented

  • 11.2 - Safe stacking practices observed

  • 11.3 - Safe storage of materials observed.

12.0 - Personal Protective Equipment - Sufficient and Correct applied

  • 12.1 - Hard hat

  • 12. 2 - Gloves (various types for site conditions)

  • 13. 3 - Ear protection

  • 13. 4 - Eye protection

  • 13. 5 - High Visibility vest or garment

  • 13.6 - Harness & Lanyard correctly applied and adjusted

14.0 - Lifting operations

  • 14.1 - Gin wheel correctly position, no greater than 750mm

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

  • 14.3 - Has the users have knowledge of knots

  • 14.4 - Is the rope and wheel free from defects and suitable

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.