Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Front Upright

  • Is there any damage

  • Is it twisted

  • Floor fixing missing / damaged

  • Loose floor fitting

  • Footplate damaged

  • Footplate missing

  • Shim incorrect / twisted

Rear Upright

  • Is there any damage

  • Is it twisted

  • Floor fixing missing / damaged

  • Loose floor fitting

  • Footplate damaged

  • Footplate missing

  • Shim incorrect / twisted

Frame Bracing

  • Is the bottom horizontal bracing damaged

  • Is the first diagonal bracing damaged

  • Is the second diagonal bracing damaged

  • Is the third diagonal bracing damaged

  • Is the forth diagonal bracing damaged

  • Is the fifth diagonal bracing damaged

  • Is the sixth diagonal bracing damaged

  • Is the seventh diagonal bracing damaged

  • Is the top diagonal bracing damaged

  • Are there any loose fixings

Beam

  • Is the beam damaged

  • Is the beam dislodged

  • Missing locking pins

  • Are there any signs of beam deflection

Secondary Components

  • Deck missing / damaged

  • Anti-collapse damaged

  • Upright guard missing

  • Upright guard loose

  • Barrier damaged

  • Barrier loose

  • Load sign missing

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. You should independently determine whether the template is suitable for your circumstances.