Scaffold Inspection

• Site Name

  Select

• Job Number

• Site Location
  Address

• Site Manager

• Client

• Inspection completed by

• Date of inspection

  Date

Scaffold Inspection

• Scaffolding Check Guide

  Yes

  No

  N/A

• 

• Inspection Type

  Select First Use Following 7 days of use Following adverse weather conditions Following any alterations

  • First Use
  • Following 7 days of use
  • Following adverse weather conditions
  • Following any alterations

• Scaffold Erected by

  Select William Waugh & Sons (Builders) Ltd Others (Details in notes)

  • William Waugh & Sons (Builders) Ltd
  • Others (Details in notes)

• Location Of Inspected Scaffold

  Select Full Front Rear Gable Gable Lift Left Side Right Side Front Roof Access Rear Roof Access Ground Level Lift Other

  • Full
  • Front
  • Rear
  • Gable
  • Gable Lift
  • Left Side
  • Right Side
  • Front Roof Access
  • Rear Roof Access
  • Ground Level Lift
  • Other

• If Other, please specify location

• Are The Footings Suitable ?

  Yes

  No

  N/A

• Fault

  Select Ground Soft and Uneven No Base Plates No Sole Boards Scaffold Undermined Damaged Base Boards Other (Details in notes)

  • Ground Soft and Uneven
  • No Base Plates
  • No Sole Boards
  • Scaffold Undermined
  • Damaged Base Boards
  • Other (Details in notes)

• Image

  Media

• Are The Standards Suitable ?

  Yes

  No

  N/A

• Fault

  Select Incorrect Bay Centers Standards Not Plumb Joints Not Staggered Material Damaged Loose/Incorrect Fittings Other (Details in notes)

  • Incorrect Bay Centers
  • Standards Not Plumb
  • Joints Not Staggered
  • Material Damaged
  • Loose/Incorrect Fittings
  • Other (Details in notes)

• Image

  Media

• Are The Ledgers Suitable ?

  Yes

  No

  N/A

• Fault

  Select Ledgers Not Level Joints Not Staggered Loose Fittings Material Damaged Incorrect Fittings Other (Details in Notes)

  • Ledgers Not Level
  • Joints Not Staggered
  • Loose Fittings
  • Material Damaged
  • Incorrect Fittings
  • Other (Details in Notes)

• Image

  Media

• Is The Bracing Suitable ?

  Yes

  No

  N/A

• Fault

  Select Loose Missing Incorrect Fittings Used More Than 300mm From Node Point Incorrect Frequencies Other (Details in Notes)

  • Loose
  • Missing
  • Incorrect Fittings Used
  • More Than 300mm From Node Point
  • Incorrect Frequencies
  • Other (Details in Notes)

• Image

  Media

• Are The Transoms Suitable ?

  Yes

  No

  N/A

• Fault

  Select Incorrect Spacing Incorrect Fittings Incorrectly Supported Inside Boards Inside Boards Not Secured (where required) Other (Details in Notes)

  • Incorrect Spacing
  • Incorrect Fittings
  • Incorrectly Supported Inside Boards
  • Inside Boards Not Secured (where required)
  • Other (Details in Notes)

• Image

  Media

• Are The Fittings Suitable?

  Yes

  No

  N/A

• Fault

  Select Wrong Type Used Damaged Loose Supplementary Couplers Missing Other (Details in Notes)

  • Wrong Type Used
  • Damaged
  • Loose
  • Supplementary Couplers Missing
  • Other (Details in Notes)

• Image

  Media

• Are The Couplings & Clips Suitable ?

  Yes

  No

  N/A

• Notes

• Image

  Media

• Are The Bridles Suitable ?

  Yes

  No

  N/A

• Notes

• Image

  Media

• Are The Ties Suitable ?

  Yes

  No

  N/A

• Fault

  Select Incorrect Number/Layout Ties Not Tested Ties Loose Raker Configuration Incorrect More Than 300mm From Node Point Other (Details in Notes)

  • Incorrect Number/Layout
  • Ties Not Tested
  • Ties Loose
  • Raker Configuration Incorrect
  • More Than 300mm From Node Point
  • Other (Details in Notes)

• Image

  Media

• Are The Boards/Planks Suitable ?

  Yes

  No

  N/A

• Fault

  Select Incorrectly Supported Incomplete Platforms Gaps in Boards Not Tied Down (where required) Damaged Boards Overlapping Boards Notched Boards Other (Details in Notes)

  • Incorrectly Supported
  • Incomplete Platforms
  • Gaps in Boards
  • Not Tied Down (where required)
  • Damaged Boards
  • Overlapping Boards
  • Notched Boards
  • Other (Details in Notes)

• Image

  Media

• Are Gates and Hatches Suitable ?

  Yes

  No

  N/A

• Notes

  Wrong Type Used

  Damaged

  Loose

  Supplementary Couplers Missing

  Other (Details in Notes)

• Image

  Media

• Are Ladders Suitable ?

  Yes

  No

  N/A

• Fault

  Select Poor Condition Incorrect Length Incorrect Angle Unsecured Unprotected Openings External Ladder - Extends Over Two Lifts Other (Details in Notes)

  • Poor Condition
  • Incorrect Length
  • Incorrect Angle
  • Unsecured
  • Unprotected Openings
  • External Ladder - Extends Over Two Lifts
  • Other (Details in Notes)

• Image

  Media

• Are Guardrails/Toeboards Suitable?

  Yes

  No

  N/A

• Fault

  Select Guardrail Below 950mm Gap Between Guardrails Exceed 470mm Safety Gates Missing Missing Guardrails/Toeboards Working Lifts - Double Guardrails Missing Non-Working Lifts - Single Guardrails Missing Internal Guardrails/Toeboards Missing (where required) Other (Details in Notes)

  • Guardrail Below 950mm
  • Gap Between Guardrails Exceed 470mm
  • Safety Gates Missing
  • Missing Guardrails/Toeboards
  • Working Lifts - Double Guardrails Missing
  • Non-Working Lifts - Single Guardrails Missing
  • Internal Guardrails/Toeboards Missing (where required)
  • Other (Details in Notes)

• Image

  Media

• Are Platforms Suitable?

  Yes

  No

  N/A

• Fault

  Select Lift Height Too Big/Small Widths Incorrect Excessive Gaps (In Excess of 25mm) Foot Kicker Lift Missing (where required) Excessive Gap Between The Platform and The Workface. Other (Details in Notes)

  • Lift Height Too Big/Small
  • Widths Incorrect
  • Excessive Gaps (In Excess of 25mm)
  • Foot Kicker Lift Missing (where required)
  • Excessive Gap Between The Platform and The Workface.
  • Other (Details in Notes)

• Image

  Media

Summary Of Inspection

• General Notes And Summary Of Findings

• Are There Any Recommendations Identified ?

  Yes

  No

• Recommendations

• Image

  Media

• Is The ScafTag Present and Signed ?

  Yes

  No

• Image

  Media

Inspection Sign Off

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