Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Prepared by

  • Location

SUPPORTED SCAFFOLD INSPECTIONS

  • REFERENCE: Scaffolding parts
    [This is an example of how you can use iAuditor to include reference images in your templates to assist with inspections]

    reference.PNG
  • Check to see if power lines near scaffolds are de-energized or that the scaffolds are at least 10 feet away from energized power lines.

  • Make sure that tools and materials are at least 10 feet away from energized power lines.

  • Verify that the scaffold is the correct type for the loads, materials, workers and weather conditions.

  • Check footings to see if they are level, sound, rigid, and capable of supporting the loaded scaffold.

  • Check legs, posts, frames, and uprights to see if they are on baseplates and mudsills.

  • Check metal components for bends, cracks, holes, rust, welding splatter, pits, broken welds, and non-compatible parts.

  • Check for safe access. Do not use the cross braces as a ladder for access or exit.

  • REFERENCE: Maximum Vertical Tie Spacing Wider Than 3'- 0" Bases
    [This is an example of how you can use iAuditor to include reference images in your templates to assist with inspections]

    reference2.PNG
  • Check wooden planks for cracks, splits greater than 1 /4 inch, end splits that are long, many large loose knots, warps greater than 1 /4 inch, boards and ends with gouges, mold, separated laminate(s), and grain sloping greater than 1 in 12 inches from the long edge and are scaffold grade lumber or equivalent.

  • If the planks deflect 1 /60 of the span or 2 inches in a 10-foot wooden plank, the plank has been damaged and must not be used.

  • Check to see if the planks are close together, with spaces no more than 1 inch around uprights.

  • Check to see if 10-foot or shorter planks are 6 to 12 inches over the center line of the support, and that 10-foot or longer planks are no more than 18 inches over the end.

  • Check to see if the platform is 14 inches or less from the wall or 18 inches or less away if plastering/stucco.

  • Check for guardrails and mid-rails on platforms where work is being done.

  • Check for workers under the platform and provide falling object protection or barricade the area. Make sure that hard hats are worn.

  • Use braces, tie-ins and guying as described by the scaffold’s manufacturer at each end, vertically and horizontally to prevent tipping.

COMPLETION

  • Full Name and Signature of the Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.