Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Has the scaffold been constructed and loaded in accordance with the design of a qualified person with a safety factor of 4 to 1?<br>
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Has the scaffold platform been fully planked with less than 1 inch between planks or does it meet the maximum requirement between plank and the upright?
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Where the employer can demonstrate the necessity, is the gap between the last plankand the up rights (verticals) less than 91/2 inches when using wood boards, 9 1/4 inch with steel boards, or 19inches with aluminum boards?
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Are all platforms at least 18 inches wide where allowed?
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Are platforms that are less than 18" protected by guard rail systems or will all employees have personal fall arrest systems?
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Are open sides of scaffold less than 14 inches from the work surface and 18 inches if the work being preformed is plaster or EIFS?
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Are all platform units cleated, restrained by hooks or equivalent means, or extended over the center line of their supports by at least 6 inches?
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Are platforms of 10ft or less extending over their end supports no more than 12 inches? <br>If no, have guardrails been installed to block access to the overhang?
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Are platforms of 10ft or more extending over their end supports no more than 18 inches? <br>If no, have guardrails been installed to block access to the overhang?
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Where planks are overlapped are they lapped over the supports?
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Are planks either overlapped at least 12 inches, nailed together or are they otherwise secured with a means such as cleating?
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Are planks that rest on the bearer at other than a 90 degree angle laid down first?
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Are the top and bottom surfaces of the plank visible and free from paint and other opaque finishes?
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If scaffold components of different manufacturers are used, do they fit together without force and has a competent person determined that they are safe for use?
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Has the use of dissimilar metals (if any) been evaluated by a competent or qualified person?
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Does the scaffold conform to the four to one base to height ratio ?
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Enter the 4 to 1 ratio used / or the means to not meet this requirment.
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Scaffolds that do not meet the 4 to 1 base to height ratio must be secured to the structure by the use of ties (this includes ties, guying, bracing, or a equivalent means) in the following layout:
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Has the first vertical tie been installed at a height less than four times the minimum base dimension?
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Has the tie been installed at a horizontal member that supports the inner and outer legs?
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Have vertical ties been repeated every 20 feet or less for scaffolds that are 3ft wide or less in width and 26 feet for scaffold that is over 3ft wide?
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Is the Vertical distance from the top tie to the top of the scaffold less than the 4 to 1 minimum base dimension?
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Are ties installed at each end of the scaffold and at horizontal distances not to exceed 30 feet?
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When eccentric loads (trash chutes, stair towers, weather proof wrap) are imposed have ties been installed to counteract these loads?
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Are scaffold erected on adequate firm footing, capable of supporting 4 times the intended load without settling?
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Has safe access been provided for all scaffold platforms that are more than 2 feet above or below the point of access?
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Are ladders positioned so as not to tip the scaffold?
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If used; do portable ladders (extension or freestanding) meet the specific requirments of 1926 subpart X? <br>Refer to 1926.451 (e)
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Is the bottom rung of the ladder less than 24 inches above the supporting surface?
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Are resting platforms installed every 35 ft of vertical height, for use with the climbing ladders?
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Do the ladders have a minimum rung length of 11 1/2"?
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Is the rung spacing uniform vertically, and no more than 16 3/4 inches between rungs?
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If using standard frame scaffold and the manufacturers built in climbing ladder, was the frame manufactured to be used as a climbing ladder? This is identified by evenly spaced rungs even between the stacked frames, and rungs that are 8" or wider, along with other manufacturers steps taken to keep the ladder a safe use for access.
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Picture of the scaffold climbing ladder either attached or built-in.
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Is direct access from other structures prohibited when that distance is more than 24 inches vertically or 14inches horizontally?
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What is the scaffold rated loading capacity at design?
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Are scaffold or components rated beyond their capacities?
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Has the movement of rolling scaffold been prohibited? (Unless designed by a Registered Professional Engineer) ROLLING TOWER SCAFFOLD ONLY
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Do scaffolds meet the proper safety clearances from electrical power lines as set out in 1926.451 (f) (6) ?
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Are tag lines being used to control loads being hoisted onto or near scaffolds (use of electric hoist or pulley wheel /pulley arm)?
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If storms or high winds are present or become present has the Competent person been consulted with the plan of action, and has he made all workers aware of the proper protocol. Winds at 25 MPH and exceeding require the additional use of personal fall arrest. All loose material are to be tied down or removed and all debris netting need to be attached with breakaway type straps.
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Are tools, materials, and debris being removed regularly from the scaffold to ensure that there is no accumulation?
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Ladders are prohibited from being set up and used on top of scaffold decks, Unless the criteria set out in 1926.451 (f)(15) (i,ii,iii, and iv) that will allow for ladders to be set up on scaffold. Does the scaffold Meet all the requirements set out in the above standards?
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Have all walk boards been designed or provisions made to prevent platforms from deflecting more than 1/60 of the span of the walk board?
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Are guard rails and mid rails installed on all open sides and all openings of the platform? On Lend Lease jobs this includes a additional 60" height rail for a total of 3 (top rail, mid rail, bottom rail)?
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Are guard rails installed at 36 to 45 inches in height and midrails at 50% of that height?
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When mesh or screen are installed on the scaffold do they extend from the top of the guard rail to the platform?
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Does the entire guard rail system meet the strength requirements as stated in 1926.451 (G)(4)(vii,viii and xi)?
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Have fallen object hazards been eliminated according to 1926.451(h)?
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Have toe boards been installed to prevent falling objects?
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Fallen object protection is based on height of fall protection material i.e. 2x4x16 = 3 1/2" tall protection
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Where required due to the material being used and the type of work preformed have screens been installed to protect employees from falling object protection?
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Is scaffold being inspected before each shift begins work everyday and if multiple shifts in one day then it must be inspected multiple times before each shift, also if there is any accident which affects the scaffold or any changes? the competent erson or qualified person must be called back for a complete reinspection.
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Signature of the Competent or Qualified person Doing the initial inspection after erection is completed
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Signature or name of the customer who is to do the daily inspections and is receiving the turn over from CFSS