Title Page
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Conducted on
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Prepared by
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Name of contractor
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Site name
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List the scaffolds to be inspected
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Reason for inspection
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Picture of each of the scaffoldscaffolds
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Has the scaffold been tampered by a 3rd party since the last inspection
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Has the scaffold been affected by the weather
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Is the scaffold still fit for use and in a safe working condition as per the design/compliance
Sign off
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Inspector