Title Page

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General Information

  • Description of work to be performed

Scaffolding Safety Discussion

  • Common scaffold hazards include unstable bases, inadequate footings and cross bracing, unsafe access and absence of guardrails and defective platforms.

    Here are general requirements on safety precaution:
    • All scaffolds are to be capable of supporting, without failure, at least 4 times the maximum intended load.
    • Never allow debris/materials to collect on scaffold.
    • Always use netting to catch anything that falls.
    • Make sure scaffold is secure.
    • Do not stand on ties, guardrails, or extensions.
    • Do not overreach outside the guardrails.
    • Stay off scaffold during loading or unloading.
    • Replace guardrails after loading or unloading.
    • Use 3-point climbing.
    • Don’t hang tarps without evaluation.
    • Exit mobile scaffolds before moved.
    • Always wear fall protection to avoid accidents.

Follow up questions

  • Are there any reported damaged scaffold?

  • Take a photo of damaged scaffold

  • Is the scaffold removed from service?

  • Is there any hazard happened during the shift?

  • What are those hazards?

  • Any question or comment about these safety precautions?

  • What are the questions needs to clarify?

Completion

  • Competent Person (Full Name and Signature)

  • By signing this, you confirm that the information discussed during this meeting were fully understood.

  • Click + to add signee

  • Employee
  • Employee (Full name and signature)

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