Form 31 Risk Based Audit Checklist for Mobile Scaffold

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Add location
  Address

Condition and availability of mobile scaffold towers

Are the mobile scaffold towers available in proper condition in particular?

• 1.1.1 Structure

  Yes

  No

  N/A

• 1.1.2 Access and boards (Toeboard / Brace / Working platform - metal)

  Yes

  No

  N/A

• 1.1.3 Guardrail system

  Yes

  No

  N/A

• 1.1.4 Ladder

  Yes

  No

  N/A

• Are castor wheels in good working condition with green tag?

  Yes

  No

  N/A

• Are braking and lock system in place and working on the castor wheels?

  Yes

  No

  N/A

• Are castor wheels free from rusting?

  Yes

  No

  N/A

• Are castor wheels used are of the same type and size?

  Yes

  No

  N/A

Usage

• Is the mobile scaffold always set up on a firm foundation and flat surface?

  Yes

  No

  N/A

• Is the location of the mobile scaffold tower safeguarded in traffic areas?

  Yes

  No

  N/A

• Are additional supports used, when required, for increased stability?

  Yes

  No

  N/A

• Are all workers on the working platform wear full body harness (1.5 meter)?

  Yes

  No

  N/A

Organisation, Training, Attitude

• Is there a system that identifies responsibilities to inspect mobile scaffold regularly for defects and damages?

  Yes

  No

  N/A

• Is there a reporting system to notify manager on defects to a mobile scaffold tower immediately?

  Yes

  No

  N/A

• Are workers trained or informed on the proper use of mobile scaffold?

  Yes

  No

  N/A

• Are workplace inspection covered mobile scaffolds and carried out as planned?

  Yes

  No

  N/A

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