Scaffold Dismantle Plan

• Customer

• Site

• Scaffold Location

• Scaffold Type

  Select Tower Independent Beamed Independent Birdcage / Crash Deck Cantilever Scaffold Pavement Gantry Pavement Gantry + Protection Fan Chimney Stack System Staircase Other

  • Tower
  • Independent
  • Beamed Independent
  • Birdcage / Crash Deck
  • Cantilever Scaffold
  • Pavement Gantry
  • Pavement Gantry + Protection Fan
  • Chimney Stack
  • System Staircase
  • Other

• Scaffold Supervisor

• Men on Site

• Time & Date

  Date

• RAMS on site, accessible and signed by all operatives

  Yes

  No

  N/A

• Do all operatives have the correct skills/knowledge/experience and training to dismantle

  Yes

  No

  N/A

• Has the Vehicle been parked safely?

  Yes

  No

  N/A

• Have barriers / signs been placed as and where required?

  Yes

  No

  N/A

• Are all pedestrian footpaths clear of obstructions?

  Yes

  No

  N/A

• Can the vehicle be loaded/unloaded safely?

  Yes

  No

  N/A

• Is the work area around the scaffold safe for dismantling?

  Good

  Fair

  Poor

  N/A

• Is there a first aid box present with sufficient in date supplies?

  Yes

  No

  N/A

Pre Dismantle Checklist

• Is the scaffold structure free from damage?

  Yes

  No

  N/A

• Are scaffold foundations in good condition and free from damage?

  Yes

  No

  N/A

• Has a safe storage area being established so that the scaffolding being dismantled can be stored safely?

  Yes

  No

  N/A

• Is there a safe method of work to lower materials?

  Yes

  No

  N/A

• Have exclusion zones been installed to protect members of the public and any 3rd parties?

  Yes

  No

  N/A

• Have all access routes been established and are they free from obstructions?

  Yes

  No

  N/A

• Have weather conditions been risk assessed and are they deemed acceptable for dismantling works to begin?

  Yes

  No

  N/A

• Are all ties currently installed?

  Yes

  No

  N/A

• Are all boards in place?

  Yes

  No

  N/A

• Are all toe boards in place?

  Yes

  No

  N/A

• Are all guardrails in place?

  Yes

  No

  N/A

• Are all Braces installed?

  Yes

  No

  N/A

• Are all transoms in place?

  Yes

  No

  N/A

• Are all access ladders in place?

  Yes

  No

  N/A

• Are all scaffold elevations free from obstructions?

  Yes

  No

  N/A

• Supervisor Signature

  Sign