Scaffold Inspection checklist

Details of repair

• Property address

• Bertram reference

• Client Reference

General Description

• Type of scaffold

• PASMA number

• Erected by

  Select Mercer Superscaffold other- enter details in Type section

  • Mercer
  • Superscaffold
  • other- enter details in Type section

• Date/time erected or last modified

  Date

• Risk assessment location

• Photo of location, if necessary

  Media

• Completed by

• Conducted on

  Date
• Your location can be autofilled here (for speed, good signal required) this will not be as accurate as manually completing the address
  Address

The Timing of Inspections

• This checklist refers to one of the following timings (please tick as appropriate)

• When the scaffold has been built and taken into use for the first time

• After any substantial addition, dismantling or other alteration

• After any event likely to have effected its strength and/or stability

• At regular intervals NOT exceeding 7 days

Pedestrian Safety

• Festoon Lights

  Safe

  At Risk

  N/A

• Uprights Boards

  Safe

  At Risk

  N/A

• Tube Signs

  Safe

  At Risk

  N/A

• Warning Signs

  Safe

  At Risk

  N/A

• Warning Tape

  Safe

  At Risk

  N/A

• Alarmed

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is pedestrian Safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Footings

• Soft and Uneven

  Safe

  At Risk

  N/A

• Base Plates

  Safe

  At Risk

  N/A

• Sole Boards

  Safe

  At Risk

  N/A

• Undermined

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Are Footings safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Bracing

• Rakers

  Safe

  At Risk

  N/A

• Facade and Ledger

  Safe

  At Risk

  N/A

• Some Missing

  Safe

  At Risk

  N/A

• Fittings

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is Bracing safety SATISFACTORY? If no please detail action and provide photo

  Yes

  No

  N/A

Boarding

• Boards (bad?)

  Safe

  At Risk

  N/A

• Trap boards

  Safe

  At Risk

  N/A

• Incomplete boarding

  Safe

  At Risk

  N/A

• Insufficient Boarding

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is Boarding safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Standards

• Plumb

  Safe

  At Risk

  N/A

• Joined at same height

  Safe

  At Risk

  N/A

• Spacing

  Safe

  At Risk

  N/A

• Damage

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Standard SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Couplings

• Fittings

  Safe

  At Risk

  N/A

• Loose

  Safe

  At Risk

  N/A

• Damage

  Safe

  At Risk

  N/A

• No check couples

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Are Couplings SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Guard Rails, Toe Boards and Brick Guard

• Height

  Safe

  At Risk

  N/A

• Missing

  Safe

  At Risk

  N/A

• Damage

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Are Guard Rails, Toe Boards and Brick Guard safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Protection Netting / Sheeting

• Ties (sufficient)

  Safe

  At Risk

  N/A

• Holes

  Safe

  At Risk

  N/A

• Sufficient overlap

  Safe

  At Risk

  N/A

• Too large mesh hole

  Safe

  At Risk

  N/A

• Edge ropes

  Safe

  At Risk

  N/A

• Fastening to supports

  Safe

  At Risk

  N/A

• Age

  Safe

  At Risk

  N/A

• Debris accumulation

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is netting / sheeting safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Ledgers

• Level

  Safe

  At Risk

  N/A

• Joined in same bays

  Safe

  At Risk

  N/A

• Loose

  Safe

  At Risk

  N/A

• Damaged

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is Ledger safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Ties

• Missing

  Safe

  At Risk

  N/A

• Loose

  Safe

  At Risk

  N/A

• Damaged

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is Tie safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Hoists

• Condition

  Safe

  At Risk

  N/A

• Damaged

  Safe

  At Risk

  N/A

• Weather Proof Covers

  Safe

  At Risk

  N/A

• Rope size

  Safe

  At Risk

  N/A

• Secondary protection device

  Safe

  At Risk

  N/A

• Well Wheel

  Safe

  At Risk

  N/A

• Electric

  Safe

  At Risk

  N/A

• Electric system tested

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is Hoist safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Debris Shoot

• Ties (adequate)

  Safe

  At Risk

  N/A

• Height (correct)

  Safe

  At Risk

  N/A

• Damaged

  Safe

  At Risk

  N/A

• Supported

  Safe

  At Risk

  N/A

• Offset (excessive)

  Safe

  At Risk

  N/A

• Hopper

  Safe

  At Risk

  N/A

• Other

  Safe

  At Risk

  N/A

• Is Debris Shoot safety SATISFACTORY? If no please detail action and provide photo.

  Yes

  No

  N/A

Inspection Completed - Sign off

• I have inspected the scaffolding, which is identified by the reference number below

• Scaffold Tag reference number

• Name / signature of inspector

  Sign

• Photo of Scaffold Tag

  Media

• Link to HSE website for Scaffold information
  http://www.hse.gov.uk/construction/safetytopics/scaffold.htm

• If you have a problem please contact the scaffolding company who erected the scaffold or
  Capita Symonds contact details
  richard.leppard@capita.co.uk
  07785 454782
  0208 7617830