Painters USA Swing Stage Daily Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Weather

  Safe

  At Risk

  N/A

• Prepared by

• Location
  Address

• Personnel

CHECK SUPPORT SYSTEMS

• The structure is able to support the loads ?

  Yes

  No

  N/A

• The tie back rope is properly tied off?

  Yes

  No

  N/A

• The outrigger is of proper design and correctly assembled?

  Yes

  No

  N/A

• The number of counterweights are correct for the overhang load?

  Yes

  No

  N/A

• All beams,clamps and hooks are correctly tied back?

  Yes

  No

  N/A

• Sockets and davits are correctly secured?

  Yes

  No

  N/A

SUSPENSION UNIT

• All parts (rails,rungs,deck,bumper rollers, welds,connections ,toe boards/guardrails,stanchions) of the stage/cage/chair have been checked to make sure that they are safe and will not break or come loose?

  Yes

  No

  N/A

• The stirrups or connections and their parts have been checked and are safe?

  Yes

  No

  N/A

• The capacity plate showing the maximum load will not be exceeded?

  Yes

  No

  N/A

• The stage stirrups are in line with the roof supports?

  Yes

  No

  N/A

HOIST COMPONENTS

• The manufactures operating instructions have been read and understood?

  Yes

  No

  N/A

• Hoists are in proper operating condition?

  Yes

  No

  N/A

• The wire rope has been inspected, reeved and is attached properly?

  Yes

  No

  N/A

• The length of steel wire rope is long enough to reach the ground and is attached correctly to the roof support?

  Yes

  No

  N/A

• After load is applied, all fittings have been checked for tightness?

  Yes

  No

  N/A

• Electrical cable or air hose connections have been inspected and are safe. Strain relief has been provided?

  Yes

  No

  N/A

• The power supply is enough to operate the hoist properly?

  Yes

  No

  N/A

• The hoist is correctly attached to the stirrup?

  Yes

  No

  N/A

FALL ARREST SYSTEM

• Each person to use the stage/cage/chair has own independent fall arrest system?

  Yes

  No

  N/A

• Each lifeline has been totally checked for safe use and is correctly attached at an independent safe anchor point at roof level. Roof edge protection has been provided some lifeline?

  Yes

  No

  N/A

• Each rope grab has been checked for correct operation and installation?

  Yes

  No

  N/A

• Each full body harness or belt has been thoroughly check to make sure that all components are safe?

  Yes

  No

  N/A

• Each lanyard has been thoroughly checked for safe condition. All parts are sound and correctly attach the rope grab. The D ring is in the center of the back?

  Yes

  No

  N/A

• The body harness is the proper size and fits correctly and is snug to the body?

  Yes

  No

  N/A

ADDITIONAL CHECKS

• The equipment must be kept clear of exposed electrical lines and equipment.

  Yes

  No

  N/A

• The equipment must not be used in bad weather conditions

  Yes

  No

  N/A

• The total rigging must be checked each time you use or move it.

  Yes

  No

  N/A

• Never overload the equipment.

  Yes

  No

  N/A

• Immediately report any improper operation to your supervisor

  Yes

  No

  N/A

Employee Signature

• Foreman

  Sign