Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • RESCo requires that a scaffold be inspected daily before use. The RESCo site supervisor will conduct & document a daily scaffold safety inspection in the table below. This document will be turned into management when completed

Site Details

  • Inspection Date

  • Project Name

  • Person inspecting the scaffold

Scaffold

  • Is scaffold erected plum & level using adjustable bases

  • Explain

  • Add media

  • Is scaffold on a firm foundation with 2x10" sills

  • Explain

  • Add media

  • Is scaffold erected on a solid floor (sills and adjustable bases not needed)

  • Explain

  • Add media

  • Has scaffold been secured vertically, 3 x min base dimension

  • Explain

  • Add media

  • Is scaffold secured max every 20' vertical above the 3 x min base dimension

  • Explain

  • Add media

  • Is scaffold secured longitudinal max 21', & at the scaffold ends

  • Explain

  • Add media

  • Do scaffold building ties not move (900lb working loads)

  • Explain

  • Add media

  • Was scaffold tarped & engineered on site

  • Explain

  • Add media

  • Are platforms guarded with toprails (40"-44") & midrails

  • Explain

  • Add media

  • Are platforms on open sides and ends

  • Explain

  • Add media

  • Is plaform gap between building ≤ 12°

  • Explain

  • Add media

  • Is the work platform min 20" wide (exception for ladder jacks)

  • Explain

  • Add media

  • Does work platform cover the area inside the frames and openings ≤ 10°

  • Explain

  • Add media

  • Are work platforms that are sloped fitted with cleats, max 16" intervals

  • Explain

  • Add media

  • Do work platform slopes not exceed 1 vertical to 5 horizontal

  • Explain

  • Add media

  • Is scaffold erected > 10' away from high voltage lines

  • Explain

  • Add media

  • Do scaffold planks not have cracks longer than the width of the planks

  • Explain

  • Add media

  • Are scaffold planks supported max 10' for light duty, 7' for heavy duty

  • Explain

  • Add media

  • Are scaffold plank ends min 6" & not greater than 12" beyond supports

  • Explain

  • Add media

  • Are scaffold planks secured (wired, screwed, nailed)

  • Explain

  • Add media

  • Does access to platforms ≤ 30' have a min 12" ladder end frames, portable ladder, or stairway

  • Explain

  • Add media

  • Are access ladders 36" above the required level and secured

  • Explain

  • Add media

  • Are scaffold frames & uprights joined with couplings & pins

  • Explain

  • Add media

  • Are scaffold cross braces installed or fabricated end hook planks used

  • Explain

  • Add media

  • Is rolling scaffold not supported on penumatic tires

  • Explain

  • Add media

Ladder- Jack Scaffolding

  • Are heavy duty ladders (grade 1) used & secured

  • Explain

  • Add media

  • Supported max 10’ if solid lumber plank, max 24’ if manufactured plank

  • Explain

  • Add media

  • Is plank secured to ladder jack?

  • Explain

  • Add media

  • Are plank ends min 6” & not greater than 12” beyond end of jacks

  • Explain

  • Add media

Corrective Action

  • Corrective Actions

  • Signature of person inspecting scaffold

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