Title Page
-
Prior to releasing the scaffold to the customer, a foreman or his selected competent journeyman scaffolder shall complete this safe scaffold checklist. The structure is not to be turned over to the customer unless each element in this checklist has been inspected. Any item marked "No" must be explained.
-
Audit Title
-
Date
-
Foreman/journeyman name
-
Location
-
Job number
-
Customer
-
Scaffold erection completed by a competent worker?
-
Scaffold is square, straight, and plumb in all directions?
-
Support surface is inspected to assure adequate strength?
-
All locking and clamping devices and accessories closed, secured, and properly attached?
-
Base plates and mud sills in place and firmly attached to the scaffold?
-
Levelling screwlegs installed and extended no more than 30 centimetres?
-
Planking and decks cleated and/or secured to the scaffold to prevent sliding or uplift?
-
Access ladders installed to extend a minimum of 1 meter above platform deck and all brackets, including top bracket secured?
-
Free standing scaffold in no higher than 3 times the minimum base dimension or the scaffold is guyed/secured to the structure every 4.6 meters vertically and 6.4 meters horizontally?
-
All working and rest levels are double guard railed with a top rail between 0.92 meters and 1.07 meters and a mid-rail halfway between the platform and the top rail?
-
All work levels are toe boarded with at least 140 millimetre boards and are fully planked?
-
Warning devices/signs are installed or area is roped off if scaffold is in high traffic areas?
-
Power line clearances are observed?
-
Castors on rolling towers have working brakes and are secured to the scaffold?
-
No tubes, planks, or members over-extended causing hazards?
-
Ladder cages are installed on access ladders in excess of 6.1 meters in height?
-
The scaffold has been engineered if it has been built to support over 75 pounds per square foot?
-
Safe or caution scaffold tag has been installed in a readily visible location on the scaffold?
