Title Page

  • Conducted on

  • Prepared by

  • Name of contractor

  • Site name

  • List the scaffolds to be inspected

  • Reason for inspection

  • Picture of each of the scaffoldscaffolds

  • Has the scaffold been tampered by a 3rd party since the last inspection

  • Has the scaffold been affected by the weather

  • Is the scaffold still fit for use and in a safe working condition as per the design/compliance

Sign off

  • Inspector

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