Information
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Audit Title
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Document No.
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Site
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Conducted on
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Prepared by
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Location/Address
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Personnel
Site overview
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Principal Contractor
1. Scaffold Documentation
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1.1 Scaffolders RAMS. Are they site specific and relevant? Are the RAMS held on site and signed by all scaffolders?
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1.2 reference made that all Scaffolders will work to SG:4 ?
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1.3. All Scaffolders CISRS carded & inducted by the Principal Contractor.
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1.4 Adequate scaffolders rescue plan documented and appropriate equipment held on site?
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1.5 Reference made to TG:20 ?
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1.6. Scaffold design drawing No:
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1.7. Pavement licence in place?
2. Scaffold Base Lift
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2.1 Ground conditions/Footings/Base plates/Sole plates
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2.2 Standards vertical and bays no larger than 2m?
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2.3 Ledgers horizontal and not to exceed 2m (pavement lift no greater than 2.7m)?
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2.4 Transoms horizontal max spacing 1.2m ?
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2.5 Facade Bracing every 5 bays ?
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2.6. Scaffold Tubes and Fittings in good condition ?
3. Working Lifts ?
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3.1 Scaffold Boards in good condition not spilt (BS 2482:2009), inner boards clipped/secured?
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3.2 Hand Rails 950mm & intermediate guard rails 470 mm ?
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3.3 Brick guards & toe boards ?
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3.4. Ledger Bracing ?
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3.6. Working platform clear of debris and materials ?
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3.7. Scaffold Tubes and Fittings in good condition ?
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3.8. Transoms horizontal max spacing 1.2m ?
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3.8. Plan Bracing ?
4. Scaffold Ties
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4.1. Scaffold ties conform to TG:20 or scaffold design ?
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4.2. Scaffold Ties ?
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4.3. Scaffold Ties ?
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4.4. Scaffold Ties ?
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4.5. Scaffold Ties ?
9. Ladders
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9.1 Ladders.
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9.1 Ladders.
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9.1 Ladders.
10. Stairs
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10.1. Stairs
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10.2. Stairs
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10.3. Stairs
11 Loading Bays
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11.1 Loading bays.
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11.2 Loading bays.
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11.3. Loading bays.
12. Hoists
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12.1. Enclosure
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12.2. Platform and cage.
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12.3. Machinery
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12.4. Structure and ties.
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12.5. Other
13. Rubbish Shoots.
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13.1. Rubbish Shoots. .
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13.2. Rubbish Shoots.
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13.3. Rubbish Shoots. .
14. Other
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14.1 Other
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14.2 Other
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14.3 Other
Summary
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Safety Advisor
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I agree that a copy of this report has been given to me and that corrective actions has been taken or will be taken to rectify those items
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Site Representative
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I confirm that all actions highlighted within this report have been completed
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Contracts manager name signature and date
