SCAFFOLD HANDOVER

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Load rating

• Company

• Handover description

Scaffold vicinity

• Sufficient public protection been provided?

  Yes

  No

Base

• WAS SCAFFOLD BASED OUT IN THIS HANDOVER

  Off

  On

• Are there sufficient sole plates?

  Yes

  No

• Sole plates of suitable material and in a serviceable condition

  Yes

  No

• Sole plates/ base plates secure and centered?

  Yes

  No

• Add media

  Media

Scaffold Structure

• Was scaffold structure erected, dismantled or altered in this handover

  Off

  On

• Standards bearing firmly?

  Yes

  No

• Standards plumb (or as designed)?

  Yes

  No

• Ledgers level (or as designed)?

  Yes

  No

• Ledgers continuous (or as designed)?

  Yes

  No

• Lift heights correct?

  Yes

  No

  N/A

• Ledgers correctly secured?

  Yes

  No

• Is the bracing to plan specifications.

  Yes

  No

  N/A

• Have all ends been braced with end bracing

  Yes

  No

  N/A

• Are all braces continues from ground to no greater than 500mm below top working platform.

  Yes

  No

  N/A

• Have handrails been installed?

  Yes

  No

  N/A

• Are there any falls from heights that has not been delineated and access blocked

  Yes

  No

  N/A

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  Media

Platforms

• Has any platform or deck been installed or dismantled in this handover?

  Off

  On

• Scaffold have the required number of working platforms?

  Yes

  No

• Working platforms at the required locations?

  Yes

  No

• Catch platforms correctly positioned?

  Yes

  No

• Platforms and supporting scaffold constructed for the appropriate duty live loads?

  Yes

  No

  N/A

• Adequate edge protection?

  Yes

  No

• Platforms correctly constructed?

  Yes

  No

• Planks secured against wind?

  Yes

  No

  N/A

• IS there a deck level within 300mm of either top or bottom slab edges.

  Yes

  No

  N/A

• Have all required kick boards been installed around the perimeter?

  Yes

  No

  N/A

• Are all kick boards secured by mechanical means as primary and secured with zip ties as secondary where required.

  Yes

  No

  N/A

• have all internal kickboards been installed where there are no hop-ups, an internal handrail and there is access to the scaffold.

  Yes

  No

  N/A

• Do all stop end have kick boards

  Yes

  No

  N/A

• have all required hop ups been installed

  Yes

  No

  N/A

• have all required hop ups been installed with a tie bar

  Yes

  No

  N/A

• has any hop up not installed with a tie bar been strapped back to the scaffold (NOT USING ZIP TIES OR TIE WIRE)

  Yes

  No

  N/A

• At any accessible point s there no gaps greater than 225mm in the scaffold

  Yes

  No

  N/A

• Do all laps have a minimum of 300mm overlap onto excising decks

  Yes

  No

  N/A

• Do all lap boards outside of standards, such as on hop ups or top decks, have suitable strapping or cleating back to prevent being kicked off the scaffold.

  Yes

  No

  N/A

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  Media

Containment sheeting

• Dose the scaffold in question required containment

  Off

  On

• Has the scaffold been designed for wind loading on any containment sheeting?

  Yes

  No

  N/A

• Any rips or tears?

  Yes

  No

  N/A

• Overlap joints satisfactory?

  Yes

  No

• has the prescribed lining been installed to provided no less than 2m of containment from the highest point of works to be completed by others during this handover.

  Yes

  No

  N/A

• has the prescribed lining provided containment to all accessible areas with no gaps greater than 25mm

  Yes

  No

  N/A

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  Media

Access and Egress

• Dose the scaffold have Access and egress

  Off

  On

• Access and egress to working platforms?

  Yes

  No

• Temporary stairways correctly installed?

  Yes

  No

  N/A

• Portable ladders of an industrial grade, serviceable and correctly installed?

  Yes

  No

  N/A

• Access ways and access platforms correctly installed?

  Yes

  No

  N/A

• Has the access been fixed fix a Scoff Tag

  Yes

  No

  N/A

• Has the scaff tag been filled out

  Yes

  No

  N/A

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  Media

General fitness for purpose

• Clearances between the scaffold and adjacent structures correct

  Yes

  No

• Adequate protection from falling debris?

  Yes

  No

• Scaffold been adequately designed to support to all attachments?

  Yes

  No

• Have all decks been cleared from any loose items

  Yes

  No

  N/A

• Has all not in use scaffolded items been stacked and stored correctly out of way from others works

  Yes

  No

  N/A

• Has all lacing been supplied at no greater that 2meter increments.

  Yes

  No

  N/A

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  Media

LOADING BAYS

• Dose this handover cover any loading bays

  Off

  On

• Are loading bays braced as per plans specification

  Yes

  No

  N/A

• Are loading bays signed with correct load rating as per plan

  Yes

  No

  N/A

Tie registrar

• Have ties been required, installed or removed in this Handover

  Off

  On

• Tie registrar

  Yes

  No

  N/A

• 100% ties tensioned?

  Yes

  No

• Ties tensioned to manufacturer specifications?

  Yes

  No

• Ties correctly positioned and fixed?

  Yes

  No

• Ties fixed as per Australian Standards or engineers specifications?

  Yes

  No

• Have ties been installed to the first node point within 2m of the top level of the containment.

  Yes

  No

  N/A

• Dose the plan request that the ties pick up both internal and external standards

  Yes

  No

  N/A

• Has any 3 board bay with 3 board hop up been installed with a tie every standard

  Yes

  No

  N/A

• Do all ties have safety checks affixed

  Yes

  No

  N/A

• Are all ties installed in a manner that is free from a trip hazard and or blocking access

  Yes

  No

  N/A

• Add media

  Media

• Remedial action required

• RB representative signed

  Sign

• Client Representatives Name

• Signed customer representive

  Sign

• Company

• Relating Carbon Copy Handover Number

• Select date

  Date