Information

  • Document No.

  • Client

  • Conducted on

  • Prepared by

  • Site Address
  • Location

  • Are there TG20 Compliance sheets or design drawings available?

  • Have the Scaffolds been built in accordance with the compliance sheets or design provided?

  • Are the footings provided by the client suitable for the pending loads?

Footings

Standards

  • Are the joints staggered?

  • Are the standard spacing's correct to either the design drawing or TG20 Compliance sheet

Ledgers

  • Are the joints staggered?

  • Are the lift heights correct with either the design drawing or TG20 Compliance sheet

Transoms

  • Are the transoms spaced correctly on boarded and non boarded lifts?

Ledger, Façade and Plan Bracing

  • Is all bracing set at the correct intervals?

  • Is all bracing connected using load bearing fittings?

Ties

  • Have ties been used

  • Are all ties been set at the frequency of the compliance sheets or design drawing?

  • Have pull tests been carried out?

Boarded Lift

  • Are the boards in good condition with no excessive splits, or notches?

  • Is the working platform free from gaps and trip hazards?

  • Are all boards 8ft and under secured once and 6ft boards and under boards secured twice to prevent movement?

  • Are the boards supported by at least 50mm past their last support and not exceeding 150mm?

Handrails, Toe Boards & Brick Guards

  • Are Handrail and toe boards fitted where there is a risk of persons or materials falling?

  • Are the handrails at the correct height 950mm with a gap not exceeding 470mm between the toe board and the handrails?

  • Are the handrails and toe boards correctly fixed (toe boards over 2 standards) and are the joints not in the same bay as the ledgers below?

  • Are the brick guards in good condition and correctly secured?

Ladder/ stair access

  • Are the ladders on a firm and even base and Correctly secured.

  • Do the ladders protrude at least 1.05mtrs above the working platform? where this is not possible is there an adequate handhold provided?

  • Are the stair treads in sound condition and free from hazards that could cause harm?

  • are the stair treads fixed securely with no movement?<br>

  • Are all the Half landings complete with Handrails and toe boards?

Housekeeping

  • Are all the spare materials in a neat and tidy condition?

undefined

  • Is there a adequate storage area for the spare materials on site? is it in a workable condition?

Signage & Barriers

  • Is there signage on display to warn other site users?<br>Loading bay signs/ men working over head/ scaffold incomplete.

  • Are there Physical Barriers in use?

SG4:15

  • Does the scaffold appear to be erected in accordance with SG4:15?<br>Are there single guardrails on all non working lifts?<br>Is there a ladder access in place for the scaffold erectors to use?

Recommendations & Conclusion

  • Any other Issues?

  • Signature:

  • Select date

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.