Ezy Access Hire

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client -

Works Inspected

• Type of Scaffold

  Aluminium

  Steel

  Mobile

• Take Photo of scaffold

  Media

• Type Of Site

  School

  Construction

  High Rise

  Commercial

  Strata

• single storey

• 2 storey

• shade cloth

• stair access

• 3rd deck

• ladder beam

• balcony scaffold

Quality Audit

• Are all sole boards on firm level ground

  Yes

  No

  N/A

• Are jacks on sole boards

  Yes

  No

  N/A

• Are all standards in line and plumb to the building structure

  Yes

  No

  N/A

• Have all Hop Outs been installed

  Yes

  No

  N/A

• Are all face and end braces fitted to code

  Yes

  No

  N/A

• Has all edge protection been fitted (toeboards, brickguards, handrails)

  Yes

  No

  N/A

• Type of edge protection fitted

  handrails

  toeboards

  brickguards

• All gaps covered and lap planks secured

  Yes

  No

  N/A

• Have adequate ties been fitted to each side ( min 2 per elevation)

  Yes

  No

  N/A

• Details of access provided

• Has handover /Scaff tag been attached to scaffold at access point

  Yes

  No

  N/A

• Handover / Scaff tag photo

  Media

Inspection Notes / Photos

• Are there any signs of damage to the building by scaffolders or others

  Yes

  No

  N/A

• Description of scaffold state upon arrival

• Photo of Damage

  Media

Photos Of Scaffold

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  Media

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  Media

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  Media

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  Media

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  Media

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  Media

• Add media

  Media

Rectification Works

• Any Rectification works required

  Yes

  No

  N/A

• List details of rectification work

Extra gear Onsite

• Is beam Scaffold still in use

  Yes

  No

  N/A

• Is pickup of leftovers required

  Yes

  No

  N/A

• Is Fascia/Gutter gear on site

  Yes

  No

  N/A

• How Many pallets left on site

Sign Off

• Inspection Passed

• EAH Inspector Signature

  Sign

• Name of Client

• Off

  On