Title Page
-
Project Name
-
What is the building where the Scaffold has been installed?
-
What is the Handover Certificate number?
-
Conducted on
-
Prepared by
-
Location
Scaffold checks
-
Scaffold plan or risk assessment available that reflects scaffold as built on site
-
Where are the plans or risk assessment?
-
Scaffold Handover Certificate received & available
-
Where is the Handover Certificate held?
-
‘Danger – Incomplete Scaffold’ signage in use where required with additional signs readily available
-
Attach photo
-
Sufficient public protection?
-
What is the protection?
-
Safeguards against powerlines
-
Safeguards against vehicle and plant movement
-
Supporting structure in good conditions, adequate strength
-
Sufficient sole plates (visible, centred, good condition)
-
Base plates correct material/condition (continuous where possible)
-
Are standards plumb (or as designed)
-
Are lift heights correct
-
Is scaffold sufficiently stable
-
Are ties correctly positioned/fixed
-
Is there adequate edge protection (handrail, mid-rail, toe-board)
-
Are planks correctly fitted, secured/lashed or 300mm overlap and in good order
-
Is access to and egress correct (stair handrails, steps 350mm max)
-
Is there adequate provision for materials handling
-
Are clearances between adjoining structures correct
-
Is all scaffold floor less than 225mm horizontally from the structure platform
-
Is all scaffold floor less than 300mm vertically from the structure platform
-
Is there adequate protection from falling debris
-
Are handrails correctly fitted and with midrails & toe boards or mesh screens
-
Are loading bays adequately rated and signed
Other Issues
-
Any additional issues?
Items requiring correction
-
What items require correction? (list individually)
-
Signoff for person conducting inspection:
