Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

General Requirements

  • Have all workers been inducted to site?

  • Are all workers wearing the correct PPE?

  • Is there a current Site Specific Work Plan / RAMS in place and signed by all personnel involved in the works?

  • Are all workers competent for the tasks being carried out?

  • Are the access / egress points clear of obstructions?

  • Is there a suitable documented rescue plan in place?

  • Are all ladders set up to the project requirements?

Scaffolding

  • Are scaffold plans/drawings on site up to date?

  • Is the scaffold to plan?

  • Does the scaffold erector have the appropriate CSCS qualifications?

  • Has the scaffold been placed on firm level ground (Fixed and Mobile)?

  • Does the scaffold have a current SAFFTAG at the access point dated and signed off?

  • Is the scaffold inspected every 7 days by authorised inspector and after weather events?

  • Weekly - GA3 Report of Results of Inspections of Work Equipment for Work at a Height?

  • Certificate - Handover of Scaffolding to User

  • Does the scaffold tie into the structure?

  • Is the safe working load (SWL) not exceeded?

  • Maximum Gap between Building/Structure and Platform does not exceed 225mm

  • Do lap boards have a minimum overlap of 500mm used on returns and gaps between working platforms?

  • Are all handrails and toe boards in place and capitulated?

  • Is there a safe and clear access to scaffold / ladder secured?

  • Is scaffolding of the appropriate type i.e. no mixed components?

  • Is the scaffold erected as per manufacturer's specifications (braces, decks, etc)?

  • Access ladders fitted internally (mobile)?

  • Are the brakes fitted effectively (mobile)?

  • Are there secured safety screens in place?

  • Exclusion zones are established below?

  • Is there delineation (hard barricading) with signage in place to protect against vehicles, plant and machinery?

  • Is there adequate signage provided? i.e. (No Entry - Workers above)?

  • Are electrical cables organised using insulated hooks?

Formwork / Falsework

  • Drawing are onsite and have been approved by an engineer?

  • Is there formwork built to design?

  • Are formwork systems of the approved type?

  • Are all starter bars capped?

  • Is fall protection in place for works over 1.5m and edge protection is in place?

  • Is propping for false work installed on firm ground?

  • Are props installed as per design?

  • Are props held securely in position?

  • Are there adequate supports in place?

  • Is there adequate supports in place?

  • Is there edge protection in place and installed correctly?

Observations / Additional Comments

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