Title Page

  • 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:

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