Title Page
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Project Address
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Inspected By
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Inspected On
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Photo
Scaffold Inspection
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Description of Scaffold And Elevations
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Scaffold Inspection Status
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Reason For Inspection
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Has Scaffold Been Tampered With In Any Way Since Last Visit?
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Are There Any Defects With The Scaffold?
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Are Ladder Gates or Traps Missing
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Have The Scaffold Boards Moved From Initial Position?
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Has The Ground Structure Changed Within 3M of The Scaffold
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Are Any Of The Baseplates Missing?
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Are Any Of The Joints In The Same Bay, Other Than Staggered
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Is There Any Ledger Braces Missing?
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Have Any Ties Been Removed Since Erection?
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Is There Any Boards That Are Damaged
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Has Any Handrail Been Moved?
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Is There Any Damaged Ladders On Site?
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Is The Scaffold Safe To Inspect And Sign Off For A Further 7 Days
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Signed By
