Title Page
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Conducted on
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Prepared by
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Location
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Client
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Personnel on site
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Do all scaffolders have a valid CISRS Card
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Is there a current copy of the RAMS on-site
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Is there a TG20 Compliance certificate available for the job
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Is there an authorised permit for close work on-site
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Is there an authorised travel permit on-site
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Is there a Fire Extinguisher in the vehicle
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Is the Fire Extinguisher within service date
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Is there a First Aid box in the vehicle
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Are the items in the first aid box sufficient and within the expiry date
POWRA - (Point Of Works Risk Assessment)
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Is there a relevant POWRA on site
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Has the scaffold area been cordoned off from pedestrians
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Stop work and erect the protection zones
Scaff Steps
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Serial Number of Scaff Step 1
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Condition of Scaff Step 1
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Serial Number of Scaff Step 2
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Condition of Scaff Step 2
The Scaffold
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Are base plates in use
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Are sole boards in use
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Is the scaffold being erected in line with SG4 (single handrail on all non boarded lifts, operatives clipped on)
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Is there foam pedestrian protection on the base standards & braces where required
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Are operatives using a step ladder whilst basing out
Covid Measures
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Are masks being worn where the 2m rule cannot be adhered to
Images
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Add images of the site here
Sign off
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Auditor
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Signature
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Date