PIK - Tail and Rib 22 Towers

1.0 - LH Tail Docking - Platform Safety

• 1 - What is the Scafftag certification date?

  Date

• Is the scaffolding platform in date?

  Yes

  No

  N/A

• 2 - Stairways clear of obstructions?

  Yes

  No

  N/A

• 3 - Stairways correctly attached?

  Yes

  No

  N/A

• 4 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 5 - All railings attached and in good condition?

  Yes

  No

  N/A

• 6 - Are there any gaps occur in railings? This docking cannot be used if gaps exist.

  Yes

  No

  N/A

2.0 - RH Tail Docking - Platform Safety

• 1 - What is the Scafftag certification date?

  Date

• Is the scaffolding platform in date?

  Yes

  No

  N/A

• 2 - Stairways clear of obstructions?

  Yes

  No

  N/A

• 3 - Stairways correctly attached?

  Yes

  No

  N/A

• 4 - Floor surfaces even and uncluttered?

  Yes

  No

  N/A

• 5 - All railings attached and in good condition?

  Yes

  No

  N/A

• 6 - Are there any gaps occur in railings? This docking cannot be used if gaps exist.

  Yes

  No

  N/A

3.0 - Rib 22 Tower "A" - Platform Safety

• 1 - What is the Scafftag certification date?

  Date

• Is the scaffolding platform in date?

  Yes

  No

  N/A

• 2 - Stairway clear of obstructions?

  Yes

  No

  N/A

• 3 - Stairway correctly attached?

  Yes

  No

  N/A

• 4 - Floor surface even and uncluttered?

  Yes

  No

  N/A

• 5 - All railings attached and in good condition?

  Yes

  No

  N/A

• 6 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

4.0 - Rib 22 Tower "B" - Platform Safety

• 1 - What is the Scafftag certification date?

  Date

• Is the scaffolding platform in date?

  Yes

  No

  N/A

• 2 - Stairway clear of obstructions?

  Yes

  No

  N/A

• 3 - Stairway correctly attached?

  Yes

  No

  N/A

• 4 - Floor surface even and uncluttered?

  Yes

  No

  N/A

• 5 - All railings attached and in good condition?

  Yes

  No

  N/A

• 6 - Are fall preventive measures in place and used where gaps occur in railings?

  Yes

  No

  N/A

11.0 - Any other comments?

• Any other comments?

  Yes

  No

• Add media

  Media

Sign Off

• Auditor's signature

  Sign