Title Page

  • 1. NAME & ADDRESS OF THE COMPANY/PERSON ON WHOSE BEHALF THE INSPECTION WAS CARRIED OUT

  • 2. THE LOCATION OF THE WORK EQUIPMENT (SCAFFOLDING) INSPECTED

  • 3. DESCRIPTION OF WORK EQUIPMENT INSPECTED

  • 4. DATE & TIME OF INSPECTION

  • 5. DETAILS OF ANY MATTER IDENTIFIED THAT COULD GIVE RISE TO A RISK TO THE HEALTH & SAFETY OF ANY PERSON

  • 6. DETAILS OF ANY ACTION TAKEN AS A RESULT OF ANY MATTER IDENTIFIED IN POINT 5.

  • 7. DETAILS OF ANY FURTHER ACTION CONSIDERED NESSESSARY.

  • 8. NAME & POSITION OF INSPECTOR

  • CAN WORK BE CARRIED OUT SAFELY?

  • IF NOT, NAME OF PERSON INFORMED

OBSERVATIONS

    OBSERVATION PHOTO
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.