Title Page

  • Conducted on

  • Prepared by

  • Location
  • Scaffold erections completed by competent workers

  • Scaffolding over 4 m is certified?

  • Scaffolding is regularly inspected - every 30 days by authorised inspector and after weather events?

  • Scaffold tag (SCAFFTAG) is located at the access point dated and signed off by authorised licenced scaffolder?

  • Scaffold is only erected and modified by a high risk work licenced scaffolder

  • Scaffold is square, straight, and plumb in all directions?

  • Scaffolding is braced?

  • There is adequate bracing in all directions?

  • Handrails, mid rails and kick boards are in place?

  • Do they look like they have been installed at the right height for their purpose?

  • Scaffold is set up on a solid foundation?

  • Is the height of the scaffold greater than 3 times the width of the scaffold tower?

  • If yes to the above question are outriggers in place?

  • Scaffold safe working load (SWL) is not exceeded?

  • Scaffold is protected from mobile plant and vehicles?

  • Scaffold is tied into the building every 3.6 m?

  • Scaffold secured against vandalism?

  • Mobile scaffolds are erected as per manufacturers guideline specifications?

  • Wheels are locked on mobile scaffold?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.