Hogan Suspended Scaffolding Daily Safety Checklist

• Document No.

• Project Name

• Project Number

• Conducted on

  Date

• Prepared by

• Location:

Work Schedule

• From

• To

Weather Conditions

• Weather Conditions:

Temperature

• High

• Low

Precipitation

• Rain

• Snow

Scaffolding Size

• Ft. Width

• Ft. Long

• Any scaffold over 125'-0" in height MUST be designed by a Registered Professional Engineer

• Does Hogan have a copy of the C.P's card responsible for this scaffold

  Yes

  No

  N/A

• Has the C.P. tagged the scaffold safe to use before workers start

  Yes

  No

  N/A

• Is competent person supervising erection, moving, dismantling or alteration of scaffold

  Yes

  No

  N/A

• Has the crew received required training

  Yes

  No

  N/A

• Are all the scaffold components free from defects

  Yes

  No

  N/A

• Has the scaffold capacity and intended load been checked

  Yes

  No

  N/A

• Has the potential for electrical hazards been assessed and controlled

  Yes

  No

  N/A

• Are counterweights clearly marked with individual weight and securely attached to outrigger

  Yes

  No

  N/A

• Does the quantity of counterweight match what the configuration requires

  Yes

  No

  N/A

• Is the scaffold tied back to a structurally sound anchorage; are ropes equal in strength to suspension ropes

  Yes

  No

  N/A

• Suspension ropes inspected daily; (remove if: 6 random broken wires in a lay; 3 broken wires in a strand of lay)

  Yes

  No

  N/A

• Suspension ropes checked for kinks, abrasion, flattening, heat damage from torches

  Yes

  No

  N/A

• Gears of hoist are enclosed

  Yes

  No

  N/A

• Emergency brake is functioning

  Yes

  No

  N/A

• Is scaffold secured to prevent swaying

  Yes

  No

  N/A

Scaffold Platform Inspection

• Is platform fully planked or decked, free from holes and defects

  Yes

  No

  N/A

Fall Protection (Six - 6')

• Is there a guardrail, mid-rail, toe-board in place on all 4 sides of the basket; is it in good condition

  Yes

  No

  N/A

• Are scaffold users tied to an adequate anchorage independent from where the tie-back is anchored

  Yes

  No

  N/A

• Are fall protection life lines protected from abrasion

  Yes

  No

  N/A

• Other Safety Concerns: