Network Scaffolding SI

• Document No.

• Client

• Site

• Controlling Scaffold Manager:

• Controlling Scaffold Branch:

• Auditor

• Conducted on

  Date
• Location
  Address

Documents and Records

• Have all PSL operatives signed in to site correctly?

  Yes

  No

  In Part

  N/A

• A copy of the previous site inspection report is:

  Select N/A Present Closed Out & Signed Not Present Not Closed out / Signed

  • N/A
  • Present
  • Closed Out & Signed
  • Not Present
  • Not Closed out / Signed

• From a sample set, are all scaffold handover Certs completed correctly?

  Select Completed Not completed Legible Illegible Accurate Innaccurate Signed & Dated Not Signed & Dated

  • Completed
  • Not completed
  • Legible
  • Illegible
  • Accurate
  • Innaccurate
  • Signed & Dated
  • Not Signed & Dated

• Is the scaffolding site file accessible and available for inspection?

  Yes

  No (PSL)

  No (C)

  N/A

• Is a copy of the PSL Worksafe policy present?

  Yes

  No

• A copy of the site scaffolding Plan of Work is:

  Select Present Valid Site Specific Cover all work aspects Fully Signed by all. Not Present Expired Not Site Specific Doesn't cover all works Not signed by all

  • Present
  • Valid
  • Site Specific
  • Cover all work aspects
  • Fully Signed by all.
  • Not Present
  • Expired
  • Not Site Specific
  • Doesn't cover all works
  • Not signed by all

• Are PSL charged with carrying out statutory scaffolding inspections on site?

  Yes

  No

• The scaffolding register is:

  Select Present Not Present Up to date Not up to Date Complete Incomplete N/A

  • Present
  • Not Present
  • Up to date
  • Not up to Date
  • Complete
  • Incomplete
  • N/A

• The Scaffold inspection records are:

  Select Present Not Present Up to date Not up to Date Complete Incomplete N/A

  • Present
  • Not Present
  • Up to date
  • Not up to Date
  • Complete
  • Incomplete
  • N/A

• Are scaffold designs, compliance sheets or manufacturers guidance available for all scaffolding / temporary works being carried out by PSL on site?

  Yes

  No

  In Part

  N/A

• Is a copy of the agreed scaffolding quote / specification in the file?

  Yes

  No

  N/A

• Scaffold anchor test record sheets are:

  Select N/A Completed Incomplete Not Done

  • N/A
  • Completed
  • Incomplete
  • Not Done

• Plant and Equipment inspection records are:

  Select Present Not Present Up to date Not up to Date Complete Incomplete N/A

  • Present
  • Not Present
  • Up to date
  • Not up to Date
  • Complete
  • Incomplete
  • N/A

• Plant and Equipment test certificates are:

  Select Present Not Present Valid Expired Correct & Signed Incorrect or Not Signed N/A

  • Present
  • Not Present
  • Valid
  • Expired
  • Correct & Signed
  • Incorrect or Not Signed
  • N/A

Material Storage

• Is there a designated area to store scaffolding materials?

  Fully (C)

  In Part (C)

  No (C)

  Immediate Danger (C)

  N/A (C)

• Are all materials stored neatly and securely?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Has quarantine area or stillage been clearly identified for all non conforming materials?

  Yes

  No

  In Part

  N/A

Site Access and Egress

• Does the site have appropriate walkways and segregation for operatives navigating site?

  Fully (C)

  In Part (C)

  No (C)

  Immediate Danger (C)

  N/A (C)

• Are the walkways clear and free from obstructions or trip hazards?

  Fully (C)

  In Part (C)

  No (C)

  Immediate Danger (C)

  N/A (C)

Manual Handling

• Is there mechanical assistance for transporting scaffolding materials around site? ( forklift?)

  Fully (C)

  In Part (C)

  No (C)

  Immediate Danger (C)

  N/A (C)

• Are all proposed transit routes free from obstruction and trip hazards?

  Yes

  No (PSL)

  No (C)

  N/A

Scaffolding

• Scaffolding Structure

Scaffold

• Do scaffolding foundations appear well prepared to support proposed scaffold loadings?

  Yes

  No (PSL)

  No (C)

  N/A

• Would the inadequacy of been visibly apparent or easily identifiable prior to the scaffolding erection?

  Yes-

  No+

• Scaffolders must ensure they carry out a full visual inspection of the proposed foundations prior to erection of the scaffolding. Any soft spots, voids or areas for concern must be brought to the attention of the scaffolding supervisor and the client.

• The client must ensure that all scaffolding foundations are suitably prepared / checked to accept the proposed scaffolding loads.

• Are all sole pads and base plates positioned correctly and free from defects?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all standards acceptable?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all facade braces acceptable?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all ledgers acceptable?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Is all ledger bracing acceptable?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all transoms acceptable?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all guardrails acceptable? (Including brick guards)

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all toeboards acceptable?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all platforms acceptable? (Including hop-ups and inside boards)

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all ties or support arrangements acceptable? (Including buttresses)

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all loading bays erected correctly and in good working order?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all access and egress arrangements acceptable? (Including Stairs or Ladders)

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Is the scaffolding erected in accordance with the approved design or compliance sheet?

  Fully

  In Part

  No

  N/A

  Immediate Danger

PPE

• Are all operatives wearing correct PPE with PSL branding?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Is all PPE in good condition and free from defects or excessively soiled?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Are all operatives harness and lanyards in good condition and less than 5 years old from date of manufacture?

  Yes

  No

  N/A

Operatives

• Do operatives display a positive and helpful nature?

  Fully

  In Part

  No

  N/A

  Immediate Danger

• Can operatives display knowledge of the POW, site rules?

  Fully

  In Part

  No

  N/A

  Immediate Danger

Client Satisfaction (Graded 0-5, 0-Very Poor : 1-Poor : 2-Satisfactory : 3-Good : 4-Very Good : 5-Excellent. )

• Client Available?

Client Available

• How does the client rate PSL for Health and Safety?

• How does the client rate PSL for Quality?

• How does the client rate PSL for output?

• How does the client rate PSL for communication?

• How does the client rate PSL's on site operatives attitude and behaviour?

• How does the client rate PSL's site management and supervision?

• Does the client have any issues, observations or concerns regarding PSL's activities? (Positive or Negative)

SG4

• Can operatives describe the process for complying with SG4 requirements on site?

  Yes

  No

  In Part

  N/A

• Is there evidence to suggest SG4 compliance is being observed on site? ( SG4 rails fitted, Scaff-step or other)

  Yes

  No

  In Part

  N/A

• Is there suitable and sufficient equipment to permit compliance with SG4 on site?

  Yes

  No

  In Part

  N/A

COSHH

• Are operatives exposed to any chemical or substances which may pose a hazard to their health?

  Yes (0)

  No (0)

• Has an adequate risk assessment been carried out covering all COSHH items on site?

  Yes

  No

• Is PPE available on site to provide suitable protection from COSHH items?

  Yes

  No

• Are any COSHH items respirable?

  Yes (0)

  No (0)

• Are suitable dust masks or means of adequate dust suppression available for use by operatives?

  Yes

  No

• Are operatives clean shaven to ensure correct seal of masks?

  Yes

  No

  N/A

• Have all operatives been face fit for the masks available for use on site?

  Yes

  No

  N/A

• Are all COSHH items securely stored in correct containers with labels clearly displayed?

  Yes (0)

  No (0)

Environment

• Is there risk to any flora or fauna on site from scaffolding operations?

  Yes (0)

  No (0)

• Have adequate controls or precautions been implemented to prevent damage to flora / fauna?

  Yes

  No

  N/A

• Is there a risk of any leaks or spillages of any chemicals or substances?

  Yes (0)

  No (0)

• Is there a spill kit or other control process on site to contain the spill?

  Yes

  No

• Are operatives familiar with the emergency procedure to be followed in the event of a spillage on site?

  Yes

  No

  N/A

Completion

• I confirm I have had the contents of this audit report explained to me and that all non-conformances must be rectified and closed out in a timely manner.

• Auditor

  Sign

• Manager / Supervisor

  Sign

Closure

• Manager / Supervisor

  Sign

• I confirm that all non-conformances / issues which were identified have been satisfactorily rectified and closed out.