Scaffold Annual Inspection

• Conducted on

  Date

• Inspected by

Description of the tower

• Type (Mobile)

• Tower Manufacturer (Loyal Scaffold LTD)

• Aluminium

• Scaff Tag number (FWT202)

10 x Ladder side structures

• Are all upright sections free of dents

  Yes

  No

• Are all horizontal sections free of dents

  Yes

  No

• Are all ladder styles free of dents

  Yes

  No

• Are all male and female interlocking sections fully operational

  Yes

  No

2 x 1/2 Ladder side structures

• Are all upright sections free of dents

  Yes

  No

• Are all Horizontal sections free of dents

  Yes

  No

• Are all ladder styles free of dents

  Yes

  No

• Are all male and female interlocking sections fully operational

  Yes

  No

Wheels

• Do all 4 wheels freely move

  Yes

  No

• Do all 4 brakes fully engage

  Yes

  No

Outriggers

• Are all 4 outriggers free of dents

  Yes

  No

• Are all 4 feet in good working order

  Yes

  No

• Are all locking pins in good working orde

  Yes

  No

Kickboard

• Is the kick board in good working order

  Yes

  No

Blue Poles

• Are all Blue poles free of dents

  Yes

  No

• Are all locking pings in good working order

  Yes

  No

Red Poles

• Are all Red poles free of dents

  Yes

  No

• Are all locking pins in good working order

  Yes

  No

Platforms

• Are all 4 platforms in good working order?

  Yes

  No

• Are all 4 trap doors freely open and close

  Yes

  No

• Are all locking pins in good working order

  Yes

  No

• Inspectors Signature

  Sign