Title Page

  • Site Address:

  • Scaffold Built By:

  • Prepared By:

  • Title:

  • Conducted On:

1 - Scaffold Vacinity

  • 1.1 - Is there a scaffold tag present at the scaffold entry point?

  • 1.2 - Is there a scaffold tag provided?

  • 1.3 - Is there an installation date and inspection date available on scaffold tag?

  • 1.4 - Has the scaffold exceeded its 30 day inspect action?

  • 1.5 - Have safeguards against overhead electric lines been provided?

  • 1.6 - Are there controls for storage, handling and using hazardous substances?

  • 1.7 - Are scaffolds erected a safe distance away from trenches or excavations?

2 - Supporting Structure

  • 2.1 - Is the supporting structure in a safe condition?

  • 2.2 - Are all measures to strengthen the supporting structure satisfactory?

  • 2.3 - Is the risk of the supporting structure being overloaded from other sources satisfactorily controlled?

  • 2.4 - Is the scaffold built on solid ground?

  • If built on soft ground are soleboards used to properly distribute load?

3 - Soleboards and Baseplates

  • 3.1 - Are there enough soleboards?

  • 3.2 - Are the soleboards of suitable material and in a serviceable condition?

  • 3.3 - Are the soleboards secure?

  • 3.4 - Are there enough baseplates?

  • 3.5 - Are the baseplates secure?

4 - Scaffold Structure

  • 4.1 - Are the lift heights correctly secured?

  • 4.2 - Are the ledgers correctly secured?

  • 4.3 - Is the bracing satisfactory?

  • 4.4 - Is the scaffold stable?

  • 4.5 - Are the ties correctly positioned and correctly fixed?

5 - Platforms

  • 5.1 - Does the scaffold have the required number of working platforms?

  • 5.2 - Are the working platforms at the required locations?

  • 5.3 - Are the platforms and supporting scaffold constructed for the relevant duty live loads?

  • 5.4 - Are there brick guards surrounding top level and any level above 2m?

  • 5.5 - Are the platform dimensions suitable for the intended work?

  • 5.6 - Is there satisfactory edge protection?

  • 5.7 - Are the platforms correctly constructed?

  • 5.8 - Are planks secure against wind exposure?

6 - Entry and Exit

  • 6.1 - Is there safe entry and exit to every scaffold platform?

  • 6.2 - Are portable ladders of an industrial grade, serviceable and correctly installed?

  • 6.3 - Are entries, exits and access platforms correctly installed?

7 - Protective Mesh Sheeting

  • 7.1 - Is there protective mesh sheeting on side where there is existing houses?

  • 7.2 - Are fixing ties secure?

  • 7.3 - Are there rips or tears?

Comments

Working Platforms

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