Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General
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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
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Inspection Date
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Project Name
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Person inspecting the scaffold
Scaffold
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Is scaffold erected plum & level using adjustable bases
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Explain
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Add media
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Is scaffold on a firm foundation with 2x10" sills
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Explain
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Add media
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Is scaffold erected on a solid floor (sills and adjustable bases not needed)
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Explain
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Add media
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Has scaffold been secured vertically, 3 x min base dimension
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Explain
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Add media
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Is scaffold secured max every 20' vertical above the 3 x min base dimension
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Explain
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Add media
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Is scaffold secured longitudinal max 21', & at the scaffold ends
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Explain
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Add media
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Do scaffold building ties not move (900lb working loads)
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Explain
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Add media
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Was scaffold tarped & engineered on site
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Explain
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Add media
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Are platforms guarded with toprails (40"-44") & midrails
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Explain
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Add media
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Are platforms on open sides and ends
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Explain
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Add media
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Is plaform gap between building ≤ 12°
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Explain
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Add media
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Is the work platform min 20" wide (exception for ladder jacks)
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Explain
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Add media
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Does work platform cover the area inside the frames and openings ≤ 10°
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Explain
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Add media
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Are work platforms that are sloped fitted with cleats, max 16" intervals
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Explain
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Add media
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Do work platform slopes not exceed 1 vertical to 5 horizontal
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Explain
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Add media
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Is scaffold erected > 10' away from high voltage lines
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Explain
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Add media
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Do scaffold planks not have cracks longer than the width of the planks
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Explain
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Add media
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Are scaffold planks supported max 10' for light duty, 7' for heavy duty
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Explain
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Add media
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Are scaffold plank ends min 6" & not greater than 12" beyond supports
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Explain
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Add media
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Are scaffold planks secured (wired, screwed, nailed)
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Explain
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Add media
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Does access to platforms ≤ 30' have a min 12" ladder end frames, portable ladder, or stairway
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Explain
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Add media
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Are access ladders 36" above the required level and secured
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Explain
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Add media
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Are scaffold frames & uprights joined with couplings & pins
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Explain
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Add media
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Are scaffold cross braces installed or fabricated end hook planks used
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Explain
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Add media
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Is rolling scaffold not supported on penumatic tires
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Explain
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Add media
Ladder- Jack Scaffolding
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Are heavy duty ladders (grade 1) used & secured
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Explain
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Add media
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Supported max 10’ if solid lumber plank, max 24’ if manufactured plank
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Explain
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Add media
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Is plank secured to ladder jack?
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Explain
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Add media
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Are plank ends min 6” & not greater than 12” beyond end of jacks
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Explain
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Add media
Corrective Action
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Corrective Actions
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Signature of person inspecting scaffold