NCIG - PTO - Using A Scaffold

• Audit Title/Client/Date (reverse order)

• Prepared by

• Location
  Address

• Personnel

EVALUATION

• Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?

  Yes

  No

  N/A

• Do all persons appear to understand the requirements of the JSEA & have signed off?

  Yes

  No

  N/A

• Does the scaffold have a document attached to the structure (SCAFTAG for example) detailing the following:

• Details of the person responsible for the structures' erection & subsequent inspections - for a scaffold structure of four metres height' or more (working platform height) by a qualified scaffolder?

  Yes

  No

  N/A

• The date the structure was last inspected - at intervals not exceeding 14 days by a qualified scaffolder for structures higher than four metres?

  Yes

  No

  N/A

• The structures' classification? (Heavy, medium, light)

  Yes

  No

  N/A

• Do all platforms higher than two metres have top rails, parallel mid rails & toe boards?

  Yes

  No

  N/A

• Are sole boards & baseplates used to properly distribute the load?

  Yes

  No

  N/A

• Are standards, joints, ledgers, transoms/putlogs & ties as per the scaffold plan?

  Yes

  No

  N/A

• Has a stair or ladder system been provided for access & egress?

  Yes

  No

  N/A

• Has mobile plant been re-routed away from the location of the scaffold to prevent collision & subsequent compromise to the structure, or barricades, signs, posts, buffer rails, guards or concrete or timber kerbs been used to prevent mobile plant from coming into contact with the scaffolding?

  Yes

  No

  N/A

• Have zones been implemented around overhead obstructions including power lines in which scaffolding has not been located?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are planks genuine scaffold planks in good condition, of uniform thickness (to prevent trip hazards) & secured against uplift?

  Yes

  No

  N/A

• Are platforms fully decked across their full width & free of gaps?

  Yes

  No

  N/A

• Are there any other risks or issues associated with the activities observed?

  Yes

  No

  N/A

• Location of Observation

• COMMENTS & RECOMMENDATIONS

• Comments & recommendations to be actioned by

• Signature of observer

  Sign