Title Page
Site & Job Details
-
Date
-
Contractor
-
FCS No.
-
Property Name/Number and Road Name
-
Property Address
-
Description of Scaffold (Include Type, No. of lifts, intended use)
Foundations
-
Ground beneath standards is compact / suitable
-
Sole boards in good condition / none missing
-
Baseplates / pads used / none damaged
Platforms
-
Working lifts fully boarded
-
Boards are undamaged and flush
-
Correct spacing and transom placement
Edge Protection
-
Advanced guardrails fitted on non-working lifts
-
Guardrails present on all working lifts
-
Toe boards present on all working lifts
-
Brick guards / Netting correctly tied. No rips or tears
-
Door fans present where necessary and double boarded
-
Ladder gates fitted to all ladders
Standards
-
Correct spacing for duty / loading
-
Joints in adjacent standards in alternate lifts
-
Standards padded where required
-
Lower lift clearance sufficient
Transoms
-
Do they suitably support board ends?
-
Are they correctly spaced?
Bracing
-
Ledger bracing on every other pair of standards
-
Façade bracing correct, secure 300mm from node point
Ties
-
How many ties installed
-
Method used (Apollo/Rakers/Brackets Etc.)
-
All secure, none missing
-
Location of tested ties (reminder 3 min or 5% whichever is greater)
-
Correct distribution
Access & Egress
-
Clear to and from structure
-
Suitable public protection in place
Overall
-
Scaffold erected to design
-
Is a gin wheel with rope attached?
-
Gin Wheel Number
-
Compliance sheet issued
-
Ladders correctly fitted and secured
-
Scaff Tag fitted
-
Inspector/Supervisor Name
-
Signature