Mobile Tower Scaffold Checklist

Details of repair

• Property address

• Client Reference

General Description

• Erected by

• Mobile/Static

  Select Mobile Static

  • Mobile
  • Static

• Double/Single

  Select Double Single

  • Double
  • Single

• Type

  Select Aluminium GRP

  • Aluminium
  • GRP

• Tower Manufacturer

• Height in meters

• Date/time erected or last modified

  Date

• Location of tower at inspection

• Photo of location, if necessary

  Media

• Completed by

• Conducted on

  Date
• Your location can be autofilled here (for speed, good signal required) this will not be as accurate as manually completing the address
  Address

The Timing of Inspections

• This checklist refers to one of the following timings (please tick as appropriate)

• After any substantial addition, dismantling or other alteration

• After any event likely to have effected its strength and/or stability

• At regular intervals NOT exceeding 7 days

• The following must be checked

• Do you have a copy of the manufacturers instruction manual to enable you to check the tower?

  Yes

  No

  N/A

• Does a risk assessment to the tower exist?

  Yes

  No

  N/A

• Check that the environment has no detrimental affect on the safe use of the tower

  Yes

  No

  N/A

• Are the castors or base plates in contact with the ground and bearing their share of the weight of the tower and that all four breaks are applied?

  Yes

  No

  N/A

• Are the adjustable legs only being used to level the tower and not for gaining height?

  Yes

  No

  N/A

• Is the tower level in all planes?

  Yes

  No

  N/A

• Is the tower built on firm and stable ground?

  Yes

  No

  N/A

• Are stabilisers fitted and are they the correct size for the height of the tower?

  Yes

  No

  N/A

• Check that the feet are fully in contact with the ground, and wing nuts are tight?

  Yes

  No

  N/A

• Check that the foot of the stabilisers are positioned to form a square?

  Yes

  No

  N/A

• Is the bracing pattern used, in accordance with the manufactures instructions?

  Yes

  No

  N/A

• Check that the hooks on the braces are fully engaged?

  Yes

  No

  N/A

• Check that all the handrails and mid guards are fitted in the correct positions?

  Yes

  No

  N/A

• Check that the interlocking device, locking frames together are engaged?

  Yes

  No

  N/A

• Check that all platforms are in the correct position on the tower?

  Yes

  No

  N/A

• Check that the trap door opens to the outboard side of the tower?

  Yes

  No

  N/A

• Is the working platform at least 600mm wide?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• If wind locks are fitted to the platform, check that they are engaged?

  Yes

  No

  N/A

• Are toe boards fitted to the working platform, or any platform with gear stowed?

  Yes

  No

  N/A

• Are you are aware of the maximum permitted load on the platform/structure?

  Yes

  No

  N/A

• Is the Mobile Tower Scaffold to be erected at least four meters away from any overhead power lines?

  Yes

  No

  N/A

• If necessary, has the work area been cordoned off?

  Yes

  No

  N/A

• If the tower is to be left incomplete has a sign been attached that warns it’s unsafe?

  Yes

  No

  N/A

Inspection Completed - Sign off

• I have inspected the tower, which is identified by the reference number below

• Tower Tag reference number

• Name / signature of inspector

  Sign

• Photo of Tower Tag

  Media

• Link to HSE website for Towers
  http://www.hse.gov.uk/construction/safetytopics/scaffold.htm

• If you have a problem please contact the company who erected the tower or
  Capita Symonds contact details
  richard.leppard@capita.co.uk
  07785 454782
  0208 7617830