Mobile Access Tower Inspection

• Audit Title

• Document No.

• Conducted on

  Date

• Client / Site

• Add location
  Address

• Prepared by

• Work At Height Regulations 2005
  Provision and Use of Work Equipment Regulations 1998
  
  These regulations require that Mobile Access Tower components be thoroughly inspected every 12 months by a competent person to ensure they are in good condition and safe to use.

• Is the correct PPE/RPE being worn

  Yes

  No

  N/A

• What is missing

  Select Hard Hat Hi-Vis Harness & Lanyard Gloves Boots Waterproofs

  • Hard Hat
  • Hi-Vis
  • Harness & Lanyard
  • Gloves
  • Boots
  • Waterproofs

• Is the Risk Assessment present

  Yes

  No

  N/A

• Is there a permit to work in place (erection/dismantle)

  Yes

  No

  N/A

• Is there a fire extinguisher in the vehicle

  Yes

  No

  N/A

• If present, is the fire extinguisher within it's service date

  Yes

  No

  N/A

• A new extinguisher must be requested and delivered during audit

• Has a POWRA been completed for the job

  Yes

  No

  N/A

• Does the POWRA match the conditions on site

  Yes

  No

  N/A

• Has the vehicle interior been wiped down and in a clean state?

  Select Excellent Good Acceptable Poor Non-Compliant N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Non-Compliant
  • N/A

• Are there sufficient cleaning materials in the vehicle

  Yes

  No

  N/A

• Is there a 1st Aid Kit in the van

  Yes

  No

  N/A

• Are the items in the 1st Aid Kit within the expiry date

  Yes

  No

  N/A

• What is missing or out of date?

  Select Assorted washproof plasters Eye pads Triangular bandages Medium dressings Large dressings Safety pins Disposable gloves Alcohol free wipes Eye wash 20ml pod Resusci Face Shield

  • Assorted washproof plasters
  • Eye pads
  • Triangular bandages
  • Medium dressings
  • Large dressings
  • Safety pins
  • Disposable gloves
  • Alcohol free wipes
  • Eye wash 20ml pod
  • Resusci Face Shield

Description of Tower

• Double / Single width

• Tower Manufacturer

• Height of scaffold (Approximate Height from floor to working platform)

The following items are to be checked

• Do you have a copy of the Manufacturers Instruction Manual (MIM) to enable you check the tower

  Yes

  No

  N/A

• A copy must be obtained ASAP and remain in the vehicle

• Is there a pull tester on site

  Yes

  No

  N/A

• Is the calibration certificate in date

  Yes

  No

  N/A

• Can the tower be identified? Are the manufacturers identification markers present and are they legible? Is the tower identified as being compliant with EN-1004

  Yes

  No

  N/A

• Are all of the castors or base plates present?

  Yes

  No

  N/A

• Pull the tag on the scaffold and request urgent replacement

• Are all the castors/base plates in good condition?

  Select Excellent Good Acceptable Poor Non-Compliant N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Non-Compliant
  • N/A

• If poor, stop work on tower and replace castors

• Are there a minimum of 3 stabilisers fitted to the base

  Yes

  No

  N/A

• Where rakers are in use on the scaffold, have they been 'pulled back' to inside/outside edges of the frame.

  Yes

  No

  N/A

• Are the braces present and are they in good condition with no large dents or damage which could affect their strength or operation. Do the brace locks operate correctly and move freely? Are the welds in good condition with no cracks which could affect their strength.

  Select Excellent Good Acceptable Poor Non-Compliant N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Non-Compliant
  • N/A

• Check that all the handrail frames are in good condition, free from dents, crack on the welds do the handrail locks operate correctly and move freely.

  Select Excellent Good Acceptable Poor Non-Compliant N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Non-Compliant
  • N/A

• Are trap door platforms only used on the ladder sections of the scaffold

  Compliant

  Non-Compliant

• Check that all platforms are present and in good condition, is there any damage to the wooden or aluminium boarding, Does the trapdoor open freely and the lock operate correctly to lock the trapdoor into position.

  Select Excellent Good Acceptable Poor Non-Compliant N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Non-Compliant
  • N/A

• Check that, if the tower is single width, that all platforms have trap doors

  Yes

  No

  N/A

• Are toe boards available for the tower? Are they in good condition and do not have any damage which could affect their operation?

  Select Excellent Good Acceptable Poor Non-Compliant N/A

  • Excellent
  • Good
  • Acceptable
  • Poor
  • Non-Compliant
  • N/A

• Is the Mobile Access Tower and all of its components safe to use?

  Safe

  At Risk

  N/A

• During erection this can be the only answer

  Erection in progress

  Dismantle in progress

• The tower must be made non accessible and the Supervisor contacted immediately to explain why

• Please sign to confirm all appropriate checks have been completed:

  Sign