Title Page

  • Conducted on

  • Prepared by

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  • Description of scaffold being handed over and or inspected

  • Is a temporary works design in place in accordance to relevant BS EN standards and adhering to TG 20:13

  • Design Drawing number

  • Are there any matters that could give rise to a risk to the health and safety of any person/s

  • Details of any actions of the above relating to "At Risk" matters highlighted above

  • Can the rectifications be carried out safely? If not enter why and the names of those who have been informed (on site and NJS personnel)

  • 1.1 Are the foundations firm and level and comply to compaction (KPA) standards?

  • 1.2 Does each standard have sole board, Screw jack or Base plate

  • 1.3 Are Timber sole boards of the correct dimensions and in good order ( no splits) (450mm long on firm compacted ground or 765mm on soft ground TG 20:13)

  • 1.4 is the scaffold protected from site plant and traffic

  • 1.5 Are standards vertical ? TG 20:13

  • 1.6 Are Ledgers horizontal

  • 1.7 Are transoms horizontal

  • 1.8 Are joints in the standards staggered and not in the same bay

  • 1.9 Are joints in the ledgers staggered and not in the same bay, and no more than 1/3 into the bay.

  • 2.0 Are the transoms correctly spaced as per Tg 20:13

  • 2.1 is the overhang a minimum of 50mm or maximum of 150mm for 38mm boards

  • 2.2 Are splits in the boards less than 300mm as per TG 20

  • 2.3 Are the boards in sound and good condition as per BS EN Standards

  • 2.4 If boards are lapped over others, are they safe from trip hazards

  • 2.5 Are the boards secure

  • 2.6 Are all boards banded at both ends

  • 2.7 Have deadmen tubes been secured correctly

  • 2.8 Has ledger bracing been fitted correctly with load bearing couplers on alternative pairs of standards for the full height of the scaffold

  • 2.9 Have facade bracing been fitted to every lift within 300mm of node points

  • 3.0 Has bracing been installed as per design

  • 3.1 are all of the scaffold tubes used in good condition (no rust) and the right size tube used in correct locations

  • 3.2 Do the fittings adhere to BS EN 74 and are they fitted with correct torque

  • 3.3 have checker fittings been installed where required as per TG 20

  • 3.4 Do tubes extend more than 25mm through couplers

  • 3.5 Have rakers been installed correctly

  • 3.6 has access and egress been provided to full height of scaffold

  • 3.7 have ladders been installed to 75 degrees maximum and are they secured correctly and project at least 1.05m above lift

  • 3.8 Are ladders in compliant condition

  • 3.9 Is the scaffolding correct for its intended use

  • 4.0 Are the standards correctly spaced for loadings

  • 4.1 Have sufficient ties been used in accordance to company policy and TG 20:13 ( every other lift and every other pair of standards every 4m)

  • 4.2 Have drilled anchors been tested in line with TG 4:11 and pull test certificates provided

  • 4.3 Have tested ties been tagged

  • 4.4 are guard rails minimum 950mm above lift level

  • 4.5 is the gap between guard rail and mid rails 470mm or less

  • 4.6 is the work area clean and tidy

  • 4.7 are working areas clear of trip hazards

  • 4.8 IS there a first use inspection and handover certificate in place

  • 4.9 is max load capacity of this type of scaffold communicated to all employees and others

  • Photos of scaffold being inspected every level, every lift, every elevation

  • I confirm the contents of this report have been discussed with myself and i am aware of any defects highlighted in the body of this report

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