Title Page
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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All scaffolds components in place with no defects?
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Is the scaffold fully decked with no more than a 2” gap between decks?
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Scaffold square, level and plumb in all directions?
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Are all guards rail and toes board in place?
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Is there safe access to get on and off the scaffold? Ladder/Staircase secured in place?
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Visual check to verify clamps/pins are secured in place?
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Are all sole boards centred?
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Are all walkways clear and free of excess scaffold materials?
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Are all brick guards correctly fitted and secured to top and mid rails?
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Are all foam legs securely fitted?
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Has the scaffold been inspected by a competent person?
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Is there a Scaff tag fitted and signed?
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Is the scaffold safe for use?
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Inspectors Signiture