1. Scaffold vicinity

  • 1.1. Has public protection been provided?

  • 1.2. Are there safe guards in place to prevent exposure to power lines?

  • 1.3. Is scaffold protected from contact by moving vehicles?

  • 1.4. Do crane operations consider movements around scaffold?

  • 1.5. Are there controls in place for the storage, handling and use of hazardous chemicals?

  • 1.6. Are scaffolds erected a safe distance away from trenches or excavations?

  • 1.7 Other

2. Supporting Structure

  • 2.1. Is the supporting structure in good condition?

  • 2.2. Does the supporting structure have adequate strength?

  • 2.3. Are there sufficient controls to prevent deterioration of the supporting structure?

  • 2.4. Are all measures to strengthen the supporting structure adequate?

  • 2.5. Is the risk of the supporting structure being overloaded from other sources adequately controlled?

  • 2.6. Has confirmation of ground bearing capacity been obtained?

  • 2.7. If built on soft ground, are sole boards arranged as per any geotechnical advice?

  • 2.8 Other

3. Sole boards and base plates

  • 3.1. Are the sole boards positioned in accordance with the drawings / geotechnical advice?

  • 3.2. Are the soleboards of specified material and in a serviceable condition?

  • 3.3. Are the soleboards secure?

  • 3.4. Are there sufficient baseplates?

  • 3.5. Are the baseplates of the type specified in drawings?

  • 3.6. Are the baseplates serviceable and of specified dimensions?

  • 3.7. Are the baseplates secure?

  • 3.8 Other

4. Scaffold structure

  • 4.1. Are the standards bearing firmly? (not floating)

  • 4.2. Are the standards plumb (or as designed)?

  • 4.3. Are the longitudinal standard spacings as per the drawings?

  • 4.4. Are the transverse standard spacings as per the drawings?

  • 4.5. Are the joints in standards as per the drawings?

  • 4.6. Are the joints in standards secured as per the design (special duty or hung scaffold)?

  • 4.7. Are the ledgers level (or as designed)?

  • 4.8. Are the ledgers continuous (or as designed)?

  • 4.9. Are the lift heights as per the design / drawings?

  • 4.10. Are the horizontal ledger spacings as per design / drawings?

  • 4.11. Are the ledgers secured?

  • 4.12. Are ledger joints correctly positioned (tube and coupler scaffold)?

  • 4.13. Are the joints in ledgers correctly secured (tube and coupler scaffold)?

  • 4.14. Are there sufficient transoms/putlogs as per the design / drawings?

  • 4.15. Are the transoms/putlogs correctly positioned and secured?

  • 4.16. Is the bracing adequate and as per the design / drawings?

  • 4.17. Is the scaffold stable?

  • 4.18. Are the ties correctly positioned and correctly fixed as per the design / drawings?

  • 4.19 Other

5. Platforms

  • 5.1. Does the scaffold have the designed number of working platforms?

  • 5.2. Are the working platforms at the required locations?

  • 5.3. Are catch platforms correctly positioned?

  • 5.4. Are the platforms and supporting scaffold constructed for the appropriate duty live loads?

  • 5.5. Are the platform dimensions suitable for the intended work?

  • 5.6. Is the edge protection installed as per the design / drawing?

  • 5.7. Are the platforms correctly constructed?

  • 5.8. Are planks secured against wind uplift and dislodgement?

  • 5.9 Other

6. Access and egress

  • 6.1. Is there safe access and egress to every scaffold platform?

  • 6.2. Are temporary stairways correctly installed?

  • 6.3. Are portable ladders of an industrial grade, serviceable and correctly installed?

  • 6.4. Are access ways and access platforms correctly installed?

  • 6.5. Are access and egress points suitable for emergency service response?

  • 6.6 Other

7. Containment sheeting

  • 7.1. Has the scaffold been designed for wind loading on any containment sheeting?

  • 7.2. Are the fixing ties installed as per the design / drawings?

  • 7.3. Are there any rips, tears or openings in the containment sheeting larger than 25mm?

  • 7.4. Are the overlap joints arranged to prevent materials from allying outside scaffold?

  • 7.5 Other

8. General fitness for purpose

  • 8.1. Is there adequate provision for material handling?

  • 8.2. Are the clearances between the scaffold and adjacent structures less than 225mm?

  • 8.3. Is there adequate protection from falling debris?

  • 8.4. Has the scaffold been adequately designed to support all attachments?

  • 8.5. Are all approaches and platforms effectively lit?

  • 8.6 Other

9. Mobile scaffold

  • 9.1. Is the supporting surface hard and flat?

  • 9.2. Is the area of operation free of floor penetrations, powerlines and other hazards?

  • 9.3. Are the castor wheel locks in working order? They should be locked at all times, except during movement of the scaffold.

  • 9.4 Other

Comment, drawing and sign off by inspecting Matrix person

  • Sketching area for inspecting person's use

  • Include information here about Mango Improvements created and any further follow up required

  • Additional comments by inspecting person

  • Name and occupation of inspecting person signing off

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