Title Page
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Conducted on
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Prepared by
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Location
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Have you checked the CRIP rating – if the property is tenanted
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Have you checked the property/surrounds risk information
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Have you completed a SWP if needed
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Have you arranged the visit as per established protocols and notified others
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Is my secure locate activated
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Is it safe to exit my vehicle
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Is the site secure and safe to enter
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Am I wearing the correct PPE
On site scaffolding
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Is the tag valid (Present, Weekly inspection recorded and completed in full)
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If the scaffolding exceeds 5 m in height has Worksafe been notified (Does not apply if single story units)
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If the scaffolding exceeds 5 m in height has it been erected by a holder of a current certificate of competence
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Is erected scaffolding within 4 m of any powerlines, If within 4 m have all signoff certification and permissions been given)
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Is max load capacity of this type known, Indicated on tag and communicated to all employees
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Is the scaffolding on baseplates to secure structure
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Are sole boards or baseplates on even surfaces and secured to support structure and meet the required measurements of (500mmX200mmX38mm thick)
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Is the scaffolding plump and square
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Is Fall protection equipment required
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Are all required guardrails, Mid rails, toe boards and trapdoors in place and also meet the spacing requirements of 300mm in between
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Is there safe access to all work platforms
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Are all scaffolding access ladders secured and safe to use for access and meet the 4:1 ratio
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Are all platforms fully decked and tied down
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Is structure secured with face and/or dogleg braces
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Are self closing gates correctly installed
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Is netting installed and secured where applicable to prevent falling
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Are excess scaffolding material neatly stacked and stored
Mobile Scaffolding
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Are excess scaffolding material neatly stacked and stored
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Is erected scaffolding within 4 m of any powerlines, If within 4 m have all signoff certification and permissions been given)
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Is max load capacity of this type known, Indicated on tag and communicated to all employees
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Is the scaffolding plump and square
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Is Fall protection equipment required
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Are all required guardrails, Mid rails, toe boards and trapdoors in place and also meet the spacing requirements of 300mm in between
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Is there safe access to all work platforms
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Are all scaffolding access ladders secured and safe to use for access and meet the 4:1 ratio
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Are all platforms fully decked and tied down
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Is structure secured with face and/or dogleg braces
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Is the tag valid (Present, Weekly inspection recorded and completed in full)
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Scaffolding mobile equipment (Wheels) being locked while in stationary position.
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Scaffolding mobile equipment (Wheels) mechanical lock in good and working condition