General Scaffold Inspection Checklist

• Client / Site

• Conducted on (Date and Time)

  Date

• Prepared by

• Location
  Address

SCAFFOLD CHECKLIST

• Scaffold erection coordinated by a competent worker.

  Yes

  No

  N/A

• Scaffold square, straight, and plumb in all directions.

  Yes

  No

  N/A

• All scaffold components present, tight and secure.

  Yes

  No

  N/A

• No tubes or members over-extended and hazardous.

  Yes

  No

  N/A

• Leveling adjustment screws extended less than 0.3 meters and lock nuts tightened.

  Yes

  No

  N/A

• Base plates and screws firmly supported on all legs. -mudsills-

  Yes

  No

  N/A

• Tower tied to rigid support horizontally and vertically according to regulatory requirements.

  Yes

  No

  N/A

• Free-standing tower scaffold steadied with guy wire according to regulations requirements for its height.

  Yes

  No

  N/A

• Platform planking cleated on the underside at each end with wood or angle iron.

  Yes

  No

  N/A

• Platform planking tied down securely.

  Yes

  No

  N/A

• Platform planking maximum span 2.4 meters for heavy duty and 3.0 meters for light duty.

  Yes

  No

  N/A

• Vertical ladder securely fastened in place.

  Yes

  No

  N/A

• Safety cage needed around vertical ladder based on height according to regulatory requirements.

  Yes

  No

  N/A

• Perimeter placed on work surfaces — toe board permanent, and temporary height according to regulatory requirements.

  Yes

  No

  N/A

• Perimeter handrail height with a mid-rail around all work platforms according to regulatory requirements.

  Yes

  No

  N/A

• Separate rope or handline in place at all platforms to raise and lower tools or material.

  Yes

  No

  N/A

• Warning devices/signs provided if erected over walkways or roadways (flashing lights, reflective tape streamers, or area is roped off).

  Yes

  No

  N/A

• Minimum clearance from overhead power lines maintained as per Occupational Health and Safety Legislation.

  Yes

  No

  N/A

• Rolling scaffold wheel brakes locked and outriggers extended to maintain the maximum height of 3 times the smallest base dimension.

  Yes

  No

  N/A

• Separate ladders being used for scaffold access.

  Yes

  No

  N/A

• Scaffold constructed & maintained according to certified engineered specifications and drawings.

  Yes

  No

  N/A

COMPLETION

• Recommendations

• Full Name and Signature of the Inspector

  Sign