Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • All scaffolds components in place with no defects?

  • Is the scaffold fully decked with no more than a 2” gap between decks?

  • Scaffold square, level and plumb in all directions?

  • Are all guards rail and toes board in place?

  • Is there safe access to get on and off the scaffold? Ladder/Staircase secured in place?

  • Visual check to verify clamps/pins are secured in place?

  • Are all sole boards centred?

  • Are all walkways clear and free of excess scaffold materials?

  • Are all brick guards correctly fitted and secured to top and mid rails?

  • Are all foam legs securely fitted?

  • Has the scaffold been inspected by a competent person?

  • Is there a Scaff tag fitted and signed?

  • Is the scaffold safe for use?

  • Inspectors Signiture

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