IE ACCESS WEEKLY SCAFFOLD INSPECTION

• Project

• Prepared by

  Select
• Location
  Address

Name of Scaffold

• NAME OR ITEM OF STRUCTURE

• Scaffold to be Inspected

  Media

• Has the scaffold been handed over

  Yes

  No

  N/A

• Type of Scaffold

  Select

• Type of Inspection

  Select

• Scaffold Design

  Select

• Are all ladders installed correctly

  Yes

  No

  N/A

• Describe any hazards or issues which could give raise to the health and safety of others

• Are ties present and free from 3rd party interference

  Yes

  No

  N/A

• Scaffold to be Inspected

• Has the scaffold been handed over

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Type of Scaffold

  Select

• Type of Inspection

  Select

• Scaffold Design

  Select

• Are all ladders installed correctly

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Describe any hazards or issues which could give raise to the health and safety of others

• Are ties present and free from 3rd party interference

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is the SCAFF-TAG present

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Provide Image of SCAFF-TAG

  Media

• Inspectors Signature

  Sign

• Client

• Client Signature

  Sign

• Date & Time

  Date