Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Scaffold type

  • Scaffold type

Foundations

  • Is scaffold on a level surface?

  • Sole and base plates in place?

  • Jacks used?

Ties

  • Sufficient ties in place?

  • Ties tested?

  • Rakers or buttresses?

Bracing

  • Facade - every 6 bays - sound condition?

  • Ledger - alternate bays - sound condition?

Standards

  • Standards plumb & correct bay centres

  • Sound condition & joints staggered

Ledgers

  • Ledgers level & sound condition?

  • Joints staggered (on tube and fitting)

  • Fittings correct / tight

Transoms

  • Correct spacing & fittings

Platforms

  • Toe boards in place & secure

  • Boards suitable, supported & secure

  • No gaps in boards

Guard rails

  • Minimum height of guard rail (950mm)

  • Maximum gap between guard rails (470mm)

Access

  • Ladders secured, sound condition & correct angle

  • Ladders 1m above platform

  • Safety gates in place?

Other issues

  • Housekeeping

  • Other components e.g. Hoists / netting / loading bays

Overall

  • Is the scaffold safe for use?

  • Details of any action to be taken

  • Sign and print

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.