Scaffold Inspection Report

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client Name

• 1.1 Adequate welfare facilities, clean, tidy and maintained?

  Select Safe Fair Poor- Improvement required At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

  • Safe
  • Fair
  • Poor- Improvement required
  • At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

• 1.2 Adequate safety signage in place ?

  Select Safe Fair Poor- Improvement required At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

  • Safe
  • Fair
  • Poor- Improvement required
  • At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

• 1.3 Location and description of workplace (Including any plant, equipment or materials) inspected:

  Select Independent Tied Access Scaffold Loading Bay Access Staircase Protection Gantry Birdcage Scaffold Gin Wheel and Rope Harness and Lanyard Edge Protection Guard Rail HAKI Access Staircase Other

  • Independent Tied Access Scaffold
  • Loading Bay
  • Access Staircase
  • Protection Gantry
  • Birdcage Scaffold
  • Gin Wheel and Rope
  • Harness and Lanyard
  • Edge Protection Guard Rail
  • HAKI Access Staircase
  • Other

• 2.2 Has public protection been provided?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 2.3 Are scaffolds erected a safe distance away from trenches or excavations?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 2.4 Is there safe access and egress to every scaffold platform?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• undefined

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 3.0 Location and description of the workplace (Including any plant, equipment or materials) inspected:
  Address

• Location and description of the workplace (Including any plant, equipment or materials) inspected:

  Date

• Location and description of the workplace (Including any plant, equipment or materials) inspected:

  Date

• Location and description of the workplace (Including any plant, equipment or materials) inspected:

  Date

• 3.1 Are all baseplates and sole boards present and compliant ?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 3.2 Scaffold square, straight, and plumb in all directions?

  Select Safe fit for purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties Other Scaffold Erect in Progress- Incomplete Scaffold not to be used by other trades! Scaffold Dismantle in Progress- Incomplete Scaffold not to be used by other trades!

  • Safe fit for purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties
  • Other
  • Scaffold Erect in Progress- Incomplete Scaffold not to be used by other trades!
  • Scaffold Dismantle in Progress- Incomplete Scaffold not to be used by other trades!

• 3.3 Are scaff-tags fitted at all access/egress points?

  Pass

  Fail

  Improvement Needed

  N/A

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

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 3.5 Do any areas of scaffold exceed the maximum clearance of 225 mm from exterior of building under construction?

  Yes

  No

  Improvement Needed

  N/A

  Other

• 3.5 Are working platforms suitable for the trades?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 3.6 Are all inside boards secured to prevent movement?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 3.7 Are scaffold boards free from defects?

  Select Safe At Risk Some boards are showing signs of warping and splitting to be monitored Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required Other

  • Safe
  • At Risk
  • Some boards are showing signs of warping and splitting to be monitored
  • Unautorised Scaffold Modification- At Risk Urgent Corrective Action Required
  • Other

• 3.8 Are the scaffold ties correctly positioned and fixed per the design drawings/TG20 compliance sheet?

  Pass

  Fail

  Improvement Needed

  N/A

• 3.9 Are plan /ledger/sway(façade) bracing in place and correct fitting used ?

  Select Pass Fail Improvement Needed N/A

  • Pass
  • Fail
  • Improvement Needed
  • N/A

• 4.0 Scaffold build as per TG20 /Design

  NASC TG20 Compliance Scaffold

  Bespoke Scaffold Design

  Engineer Input Required

  Other

• 4.1 Are working areas free of trip hazards?

  Select Safe Fair Poor- Improvement required At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

  • Safe
  • Fair
  • Poor- Improvement required
  • At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

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

  Select Safe Fair Poor- Improvement required At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

  • Safe
  • Fair
  • Poor- Improvement required
  • At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

• Waste materials stored in designated bins or skips provided?

  Select Safe Fair Poor- Improvement required At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

  • Safe
  • Fair
  • Poor- Improvement required
  • At Risk - Accumulation of waste materials and all surplus to be cleared and removed from the site by the relevant contractor.

• 5.1 Are the task-specific risk assessment and method statement present on-site?

  Yes

  No

  Improvement Needed

  N/A

  Other

• 5.2 Is there a hand over certificate in place?

  Yes

  No

  Improvement Needed

  N/A

  Other

• 5.3 Has the previous audit report been closed out?

  Yes

  No

  Improvement Needed

  N/A

  Other

• 6.1 Name of person completing this report.

  Sign

• 6.2 Name of the site person receiving this report.

  Sign

• Scaffolding Structure

  Select Safe fit for purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties Other Scaffold Erect in Progress- Incomplete Scaffold not to be used by other trades! Scaffold Dismantle in Progress- Incomplete Scaffold not to be used by other trades!

  • Safe fit for purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties
  • Other
  • Scaffold Erect in Progress- Incomplete Scaffold not to be used by other trades!
  • Scaffold Dismantle in Progress- Incomplete Scaffold not to be used by other trades!

I confirm the contents of this report have been discussed with myself and I am aware of any issues highlighted in the body of this report.

• 7.1 I confirm all actions highlight in this report have been actioned on:

  Date

Name of the person closing this report.

• Add signature

  Sign