Health and Safety Scaffold Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

First Up Questions

• Has the crew been inducted on site?

  Yes

  No

  N/A

• Is a JSA (Job Safety Analysis) complete?

  Yes

  No

  N/A

• Is appropriate PPE being worn?

  Yes

  No

  N/A

• Who's leading hand?

  Salevaso Mano

  Warren Sharpe

  Nic Mabbs

  Chris Paul

• If a Fletchers site does everyone have their Fletchers I.D on them?

  Yes

  No

  N/A

Base

• What type of ground is the Scaffold structure erected on?

  Soil/Grass

  Sand

  Ashphalt

  Concrete

• Is a sole board required for the Scaffold structure?

  Compliant

  Non-compliant

• Is each standard centred on the baseplate and soleboard?

  Yes

  No

  N/A

Geometry

• Are the standards vertical?

  Yes

  No

  N/A

• Are the ledgers, guard rails, transoms or putlogs horizontal?

  Yes

  No

  N/A

• Are the joins in the standards, ledgers and guard rails staggered?

  Yes

  No

  N/A

Guardrails

• Is the top guardrail between 900mm (90cm) and 1100mm (110cm) high?

  Yes

  No

  N/A

• Does each platform have a mid rail?

  Yes

  No

  N/A

• Are there guard rails on platforms regardless of height?

  Yes

  No

  N/A

• Are the platforms (planks) less than 300mm (30cm) from the work face?

  Yes

  No

  N/A

• If no, do the platforms have inside guard rails?

  Yes

  No

  N/A

Bracing

• Are the face braces 6 bays apart or less?

  Yes

  No

  N/A

• Are the transverse braces 4 bays apart or less?

  Yes

  No

  N/A

• Do the transverse braces start from the ground?

  Yes

  No

  N/A

• Do the face braces start from the ground and extend up to the top platform at approximately 45 degrees?

  Yes

  No

  N/A

Platforms

• Are the platforms within SARNZ guidelines (675mm)?

  Safe

  At Risk

  N/A

• Are all platforms secured against uplift or horizontal displacement?

  Yes

  No

  N/A

• Are the kick boards secured to the scaffold?

  Yes

  No

  N/A

• Are all platform kick boards 150mm high or higher?

  Yes

  No

  N/A

• Are the platforms butt planked except for the returns?

  Yes

  No

  N/A

• Are the lap planks, except for the returns, cleated?

  Yes

  No

  N/A

• Are the overhang of the planks between 80mm and 220mm?

  Yes

  No

  N/A

• Are any gaps in the platform less than 50mm? Does this pose a risk to personal safety of anyone on or around the scaffold structure?

  Safe

  At Risk

  N/A

• Are all platforms free from obvious defects? I.e knots, decay, rotting, split

  Yes

  No

  N/A

Access

• Are all ladders secured top and bottom?

  Yes

  No

  N/A

• Is there ladder access to every platform?

  Yes

  No

  N/A

• Are the ladders at a 4:1 ratio?

  Yes

  No

  N/A

• Are external ladders only up to the second lift? Max 5.2m

  Yes

  No

  N/A

• Is there a gate at the external ladder access points on each platform?

  Yes

  No

  N/A

• Are all ladders above the second lift erected within the scaffold framework?

  Yes

  No

  N/A

• Are the ladders offset a maximum of 2 lifts?

  Yes

  No

  N/A

• Are all ladder access openings in the platform protected by either a hatch or gate or by a tortured path?

  Yes

  No

  N/A

Ties

• Does the structure require ties to the building?

  Yes

  No

  N/A

• Are there ties atleast every 4.8m in the horizontal?

  Safe

  At Risk

  N/A

• Are there ties atleast every 4.2 in the vertical?

  Safe

  At Risk

  N/A

• Are the ties staggered at least every second lift?

  Safe

  At Risk

  N/A

• If the tie spacings exceed the above, is a plan brace used?

  Safe

  At Risk

  N/A

Rakers

• Are the raking tubes connected to the standards?

  Yes

  No

  N/A

• Are the raking tubes connected to the guard rails or ledgers atleast within 300mm of the standard?

  Yes

  No

  N/A

• Do all raking tubes have a horizontal tube connected back to the scaffold?

  Yes

  No

  N/A

Screening

• Is screening required to protect the public and/or vehicles?

  Safe

  At Risk

  N/A

• Is the screening adequately secured to the scaffold?

  Yes

  No

  N/A

• Does the screening fully contain the scaffold and protect the public and or vehicles?

  Yes

  No

  N/A

Roof Edge Protection

• When using the inside or outside standard of a scaffold for roof edge protection, are the guard rails at least within 200mm of the gutter?

  Yes

  No

  N/A

• Is the top handrail a minimum of 900mm above the bottom of the roof edge?

  Yes

  No

  N/A

• Where the roof pitch is less then 25 degrees, if the guardrails are more than 200mm from the gutter, is there a platform at least within 1000mm (1m) below the level of the gutter?

  Yes

  No

  N/A

• Where the roof pitch is greater than 25 degrees, if the guardrails are more then 200mm from the gutter, is there a platform within 200mm below the level of the gutter?

  Yes

  No

  N/A

Verandas, Gantries or Roofs

• Is the scaffold erected directly through the verandah, gantry or roof?

  Yes

  No

  N/A

• Is the verandah, gantry or roof propped directly below the scaffold?

  Yes

  No

  N/A

• If the scaffold is not propped directly below the verandah, gantry or roof, are the supports visible or has a chartered engineer checked it?

  Yes

  No

  N/A

Vehicular Control

• Is the scaffold adequately protected against vehicles coming into contact with it?

  Safe

  At Risk

  N/A

Hazard Identification

• Have the hazards been identified, controlled and documented in a hazard register or Task Analysis? I.e power lines, excavations, cranes

  Yes

  No

  N/A

Compliance

• If the scaffold does not comply with the Best Practice guidelines for Scaffolding NZ, has it been notified to MBIE as a special duty scaffold?

  Yes

  No

  N/A

• If the structure has failed have you made the crews aware of the corrections needed to be made?

  Yes

  No

  N/A