Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
General Requirements
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Have all workers been inducted to site?
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Are all workers wearing the correct PPE?
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Is there a current Site Specific Work Plan / RAMS in place and signed by all personnel involved in the works?
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Are all workers competent for the tasks being carried out?
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Are the access / egress points clear of obstructions?
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Is there a suitable documented rescue plan in place?
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Are all ladders set up to the project requirements?
Scaffolding
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Are scaffold plans/drawings on site up to date?
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Is the scaffold to plan?
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Does the scaffold erector have the appropriate CSCS qualifications?
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Has the scaffold been placed on firm level ground (Fixed and Mobile)?
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Does the scaffold have a current SAFFTAG at the access point dated and signed off?
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Is the scaffold inspected every 7 days by authorised inspector and after weather events?
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Weekly - GA3 Report of Results of Inspections of Work Equipment for Work at a Height?
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Certificate - Handover of Scaffolding to User
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Does the scaffold tie into the structure?
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Is the safe working load (SWL) not exceeded?
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Maximum Gap between Building/Structure and Platform does not exceed 225mm
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Do lap boards have a minimum overlap of 500mm used on returns and gaps between working platforms?
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Are all handrails and toe boards in place and capitulated?
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Is there a safe and clear access to scaffold / ladder secured?
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Is scaffolding of the appropriate type i.e. no mixed components?
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Is the scaffold erected as per manufacturer's specifications (braces, decks, etc)?
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Access ladders fitted internally (mobile)?
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Are the brakes fitted effectively (mobile)?
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Are there secured safety screens in place?
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Exclusion zones are established below?
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Is there delineation (hard barricading) with signage in place to protect against vehicles, plant and machinery?
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Is there adequate signage provided? i.e. (No Entry - Workers above)?
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Are electrical cables organised using insulated hooks?
Formwork / Falsework
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Drawing are onsite and have been approved by an engineer?
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Is there formwork built to design?
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Are formwork systems of the approved type?
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Are all starter bars capped?
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Is fall protection in place for works over 1.5m and edge protection is in place?
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Is propping for false work installed on firm ground?
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Are props installed as per design?
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Are props held securely in position?
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Are there adequate supports in place?
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Is there adequate supports in place?
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Is there edge protection in place and installed correctly?
Observations / Additional Comments
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