Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Scaffolds designed by a qualified person?

  • Scaffolds are capable of supporting 4x the intended load?

  • Green Tag

  • Competent person supervised erection of scaffold?

  • Casters are proper size and locking mechanism functioning correctly?

  • Supporting surface is level and solid with no settling?

  • Scaffold frames plumb and braced?

  • All brace connections secured?

  • Diagonal braces or hood planks used to prevent racking?

  • Platforms on all working levels fully decked?

  • Each platform at least 18" wide?

  • Ends of platforms cleated or a minimum of 6" past support?

  • Wallboards overlap over support with at least 12" of overlap?

  • Ladders are provided to access scaffold platform?

  • Guardrails in place where workers could fall 10' or more?

  • Guardrails in place and can support 200lb?

  • Top rail is between 38" - 45" with mid rail midway between top rail and platform?

  • Toe boards, screens or barricades are in place when objects could fall from scaffold platforms?

  • Scaffolds stacked more than 4x the minimum base width are tied, guyed or braced to prevent tipping.

  • Scaffold is erected at least 10' from electrical power lines?

  • Workers are locking scaffold when worker is using in stationary position?

  • Employees trained before working on scaffold?

  • DRA Completed Thoroughly?

  • Barricades Needed?

  • Scaffold Plan Completed?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.