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MAD-Scaffold Checklist
MAD-Scaffold Checklist
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MAD-Scaffold Checklist

Scaffold Checklist for Frame Scaffolds

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Free MAD-Scaffold Checklist Checklist

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Title Page

PERSONNEL

  • Has the scaffold been erected under the supervision of a competent person?

  • Add media

  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Name of Competent Person:

  • Have personnel completed scaffold training?

  • Inform foreman and conduct scaffold class prior to allowing access. Notify Division Safety Manager.

BASE SECTION

  • Is the scaffold set on mud sills, base plates, or other adequate firm foundation?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are the footings capable of supporting the loaded scaffold without settling or displacement?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Is the scaffold being supported by unstable objects?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Is the frame plumb, level and braced to prevent swaying and displacement?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

STRUCTURE

  • Is the scaffold and associated components capable of supporting its own weight plus 4 times the maximum intended load?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Is cross-bracing in place?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are all brace connections secured to prevent dislodging?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are frame components joined together vertically by coupling/stacking pins or other equivalent means?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are all components from the same manufacturer and not "mixed & matched"

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

ACCESS

  • Are employees using cross bracing for access?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • What is being used to access the scaffold?

  • Are hook-on and attachment ladders specifically designed for use for this type of scaffold?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are portable, hook on, and attachment ladders positioned so they do not tip the scaffold?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Is the bottom rung of the ladder not more than 24" above the surface?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are the rungs at least 11.5" wide?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Is the vertical spacing of rungs uniform and not more than 16.75"?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Do access stairs have slip-resistant treads on all steps and landings?

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Do access stairs have steps at least 16" wide

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  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Are access stairs equipped with rest intervals every 12 vertical feet?

  • Add media

  • Tag scaffold out of service IMMEDIATELY and inform foreman.

  • Is the frame specifically designed as a ladder rung?

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  • This frame cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Are the rungs uniformly spaced, at least 8" wide, with a maximum vertical spacing of 16.75"?

  • Add media

  • This frame cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is there a top rail and mid rail present on each side of the stairway?

  • Is the top rail also capable of serving as a hand rail (strong enough for hold a person from falling if they grasp it)?

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  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Are the top/hand rails smooth to prevent snags/lacerations?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Are the ends of rails constructed so they do not protrude out and create a snag hazard?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is there at least 3" of space between top/hand rails and other objects?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is there a vertical distance of 28"-37" from the top of the top/hand rail to the forward edge of the tread?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is there a landing platform at least 18" x 18" at each level?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Are the steps at least 18" wide between the rails?

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  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Do treads and landings have slip-resistant surfaces?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Are stairs installed at angles between 40 and 60 degrees from horizontal?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is the height of the risers uniform to within 1/4 "?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is the depth of the risers uniform to within 1/4 "?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

  • Is the adjacent structure within 14" (horizontally) and 24" (vertically) from the scaffold?

  • Add media

  • This cannot be used for access. A portable, hook-on, or attachment ladder should be considered for access.

FALL PROTECTION

  • Are employees working 6' or more above a lower level protected from falling?

  • Add media

  • Remove employees from hazard IMMEDIATELY. Inform foreman. Notify Division Safety Manager.

  • What type of fall protection is being used?

  • Is the top edge of the scaffold top rail between 36" and 45"?

  • Is the top rail capable of supporting at least 200# of downward/outward force?

  • Is cross bracing serving as a guard rail?

  • Is the height of the cross bracing between 38" and 48" (top rail) or 20" and 30" (mid rail)?

  • Add media

  • Remove employees from hazard IMMEDIATELY. Inform foreman. Notify Division Safety Manager.

  • Are the rails within 9.5" of and along at least one side of the walkway?

  • Are they installed along all open sides and edges of platforms?

  • Is the PFAS attached by lanyard to a vertical lifeline, horizontal lifeline or scaffold structural member?

  • NOTE: if horizontal lifelines are used, they must be attached to two or more structural members of the scaffold.

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

PLATFORM

  • Is the platform constructed of manufactured platforms or timber planks?

  • Ensure scaffold grade timber is used and is free of splits.

  • Is the platform capable of supporting its own weight plus four times the maximum intended load?

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  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Is the platform overloaded with personnel or materials?

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  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Is the platform fully planked or decked ?

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  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Are platforms at least 18" wide?

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  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager. NOTE: Narrower platform are allowed with approval in writing from the Division Safety Manager.

  • Is the platform free of slip/trip/fall hazards?

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  • If objects creating the hazard cannot be removed immediately, Remove employees from hazard IMMEDIATELY and notify foreman.

  • Are platforms cleated or otherwise restrained at each end? If not, do they overlap the centerline support by 6" - 12"?

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Where platforms are overlapped to create a long run, does the overlap occur only at supports, and are the overlaps at least 12" long unless otherwise restrained to prevent movement?

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Is falling object protection (toe board, debris nets, canopy) in place

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman.

  • What type of protection is in use?

  • Are toe boards at least 3.5" high and capable of withstanding 50 pounds of force?

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Is debris net or canopy strong enough to withstand the impact of objects falling into it?

STABILITY

  • Is the scaffold at a height which exceeds 4 times the width of the base? (4:1)

  • Are guys/braces installed to both the inner and outer scaffold legs?

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman. Notify Division Safety Manager.

  • Are storms or high winds present?

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman.

ELECTRICAL HAZARDS

  • Is scaffold within 10' of power lines?

  • Are lines de-energized or covered with protective coatings?

  • Add media

  • Remove employees from hazard IMMEDIATELY and notify foreman.

MAD-Scaffold Checklist
Anonymous

MAD-Scaffold Checklist

Scaffold Checklist for Frame Scaffolds

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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