Mobile Scaffold Safety Checklist

• Site conducted

  Select

• Project Name

• Scaffold Location / Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Mobile Scaffold Tower

• Are the manufacturers erection guidelines displayed on the scaffold?

  Yes

  No

• Guardrails in place 1m above all decks (including intermediate decks)

  Yes

  No

• Mid-rails in place on all decks (including intermediate decks)

  Yes

  No

• Toe-boards in place on all working decks

  Yes

  No

• Platforms in place at correct height for work to be undertaken

  Yes

  No

• Hinged cover in place for walk through platforms

  Yes

  No

• Horizontal braces as per manufacturers guidelines

  Yes

  No

• Diagonal braces as per manufacturers guidelines

  Yes

  No

• Plan brace in place

  Yes

  No

• Castor wheel locks all operational

  Yes

  No

• Adjustable legs operational and at correct height for location

  Yes

  No

• Access ladder secured in place to top rung of scaffold

  Yes

  No

• Outriggers in place (if required) and foot seated on ground

  Yes

  No

Work Location

• Is the fall risk over 4 metres?

  Yes

  No

• Over 4m fall risk scaffold: Erected and checked by licensed scaffolder?

  Yes

  No

• Is the work to be carried out covered by SWMS and signed by scaffold users?

  Yes

  No

• Pre commencement JSA carried out?

  Yes

  No

• Are you free of other risks that need to be controlled (ground slope, wind loading, electrical hazards etc)?

  Yes

  No

4 Metre fall risk

• 

• Are the people using the mobile scaffold trained in the safe erection use and dismantling of the scaffold?

  Yes

  No

Completion

• Comments and Actions:

• Inspection by (Print Name) | Position | Signature

  Sign