Scaffold checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location & Description of scaffold

• Description

  Yes

  No

  N/A

SCAFFOLDING CONTRACTOR

• Name of Company

  Yes

  No

  N/A

CONTRACTOR CONTACT

• Name

  Yes

  No

  N/A

• Mobile number

  Yes

  No

  N/A

FOOTINGS

• Soft & even

  Yes

  No

  N/A

• No base plates

  Yes

  No

  N/A

• No sole boards

  Yes

  No

  N/A

• Undermined

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

STANDARDS

• Not plumb

  Yes

  No

  N/A

• Joined at the same height

  Yes

  No

  N/A

• Wrong spacing

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

LEDGERS

• Not level

  Yes

  No

  N/A

• Joined in same bay

  Yes

  No

  N/A

• Loose

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

TRANSOMS

• Transom on every pair of standards

  Yes

  No

  N/A

• Loose

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

BRACING

• Facade & Ledger

  Yes

  No

  N/A

• Some missing

  Yes

  No

  N/A

• Loose

  Yes

  No

  N/A

• Wrong fittings

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

COUPLINGS

• Wrong fittings

  Yes

  No

  N/A

• Loose

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• No check couplers

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

TIES

• Some missing

  Yes

  No

  N/A

• Loose

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

BOARDING

• Bad boards

  Yes

  No

  N/A

• Trap boards

  Yes

  No

  N/A

• Incomplete boarding

  Yes

  No

  N/A

• Insufficient supports

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

GUARD RAILS & TOE BOARDS

• Wrong height

  Yes

  No

  N/A

• Some missing

  Yes

  No

  N/A

• Loose

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

LADDERS

• Insufficient lengh

  Yes

  No

  N/A

• Not tied

  Yes

  No

  N/A

• Damaged

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Satisfactory

  Yes

  No

  N/A

OVERALL

• Scaffold erected to design

  Yes

  No

  N/A

• Risk of vehicle collision minimised

  Yes

  No

  N/A

• Secure fencing around scaffold for Public safety

  Yes

  No

  N/A

• Scaffold loading safe

  Yes

  No

  N/A

• Scaftag procedure in place

  Yes

  No

  N/A

• Scaftag number

  Yes

  No

  N/A