Information
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Document No.
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Audit Title
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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
1. Scaffold vicinity
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1.1. Has Public protection been provided and adequate.
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1.2. Are there safe guards in place to prevent exposure to power lines?
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1.3. Is scaffold protected from contact by moving vehicles?
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1.4. Do crane operations interfere with scaffolding operations?
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1.5. Are there controls in place for any hazardous materials?
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1.6. Are scaffolds erected a safe distance away from trenches or excavations?
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1.7. Other
2. Supporting Structure
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2.1. Is the supporting structure in good condition?
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2.2. Are there sufficient controls to prevent deterioration of the supporting structure?
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2.3. Has the supporting structures ground bearing been inspected?
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2.4. Other
3. Sole boards and base plates
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3.1. Are there sufficient baseplates?
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3.2. Are the baseplates designed for the scaffold in use?
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3.3. Are the sole boards positioned correctly?
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3.4. Are the sole boards of adequate condition?
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3.5. Are the soleboards secure?
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3.6. Other
4. Scaffold structure
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4.1. Are the standards bearing firmly? (not floating)
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4.2. Are the standards plumb (or as designed)?
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4.3. Are the longitudinal standard spacings as per manufacturers design?
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4.5. Are the joints locked or pinned?
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4.16. Is the bracing adequate and as per the manufacture?
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4.17. Is the scaffold stable?
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4.18. Are the cross braces or horizontal bar braces locked and secure?
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4.19 Other
5. Platforms
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5.1. Are catch platforms, netting, or toe boards correctly positioned?
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5.2. Are the platforms and supporting scaffold constructed for the appropriate duty of live loads?
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5.3. Are the platform dimensions suitable for the intended work?
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5.4. Are the platforms correctly constructed?
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5.5. Is the edge protection installed?
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5.6. Are planks secured against wind uplift and dislodgement?
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5.7. Other
6. Access and egress
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6.1. Is there safe access and egress to every scaffold platform?
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6.2. Are temporary stairways correctly installed?
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6.3. Are portable ladders of an industrial grade, serviceable and correctly installed?
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6.4. Are access ways and access platforms correctly installed?
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6.5. Are access and egress points suitable for emergency service response?
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6.6 Other
7. Containment sheeting
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7.1. Is the scaffold adequate for wind loading if applicable?
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7.2. Are the fixing ties installed correctly?
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7.3. Are there any rips, tears or openings in the containment sheeting?
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7.4. Are the overlap joints arranged to prevent materials from allying outside scaffold?
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7.5 Other
8. General fitness for purpose
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8.1. Is there adequate provision for material handling?
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8.2. Are the clearances between the scaffold and adjacent structures secure?
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8.3. Is there adequate protection from falling debris?
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8.4. Has the scaffold been adequately designed to support all attachments?
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8.5. Are all approaches and platforms effectively lit?
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8.6 Other
9. Mobile scaffold
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9.1. Is the supporting surface hard and flat?
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9.2. Is the area of operation free of floor penetrations, powerlines and other hazards?
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9.3. Are the castor wheel locks in working order? They should be locked at all times, except during movement of the scaffold.
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9.4 Other
Comment and sign off by inspecting Matrix person
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Additional comments by inspecting person
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Name and occupation of inspecting person signing off
