• Select date

GENERAL

  • Are poles, legs, cross braces or uprights plumb and securely braced to prevent swaying and/or displacement?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Are all brace connections secured?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Are platforms kept within the frame of the scaffold unless stabilized by outrigger frames or equivalent devices?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

WHEELS

  • Are the wheels in good working order?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Are wheel locks present and in use?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Are caster stems or adjustment screws in scaffold legs pinned or otherwise secured?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

MOVING

  • Is scaffold stabilized to prevent tipping during movement?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Are the people moving the scaffold applying force within 5 feet of the base?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • If employees are to remain on scaffold, are ALL of the following conditions being met?

  • Surface is with 3 degrees of level.

  • Surface is free of pits, holes, and obstructions.

  • Height to base width ratio is 2:1 or less.

  • No employee is on any part of the scaffold that extends beyond wheels, casters, or other supports.

  • Employees have been made aware of the scaffold being moved.

PERSONNEL

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

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Name of competent person:

  • Have personnel on platform received scaffold training?

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  • Tag scaffold out of service IMMEDIATELY and contact foreman.

  • Comments:

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