Scaffold Inspection

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• Scaffold Building/Section/Location

General Requirements

• Is the supporting surface where the scaffold is going to be erected capable of withstanding the weight of the scaffold?

  Yes

  No

  N/A

• Is there any potential for contact with exposed electrical equipment and conductors (i.e., overhead energized power and communication lines) where the scaffold is going to be erected? Will the scaffold be outside the limits of approach of the energized electrical equipment and conductors?

  Yes

  No

  N/A

• Are the workers who are erecting or using the scaffold trained and supervised in how to conhrm structural capability?

  Yes

  No

  N/A

• Has the scaffold been installed as specified by the manufacturer's instructions, applicable standards, and engineer's requirements (i.e., have all the cross braces been installed)?

  Yes

  No

  N/A

• If applicable, are the manufacturer's or engineer's instructions readily available on site?

  Yes

  No

  N/A

• Has the scaffold been inspected before each use i.e., green tag and red tag system)?

  Yes

  No

  N/A

• Is there a safe way to get on and off the scaffold, such as a ladder?

  Yes

  No

  N/A

• Is the scaffold able to withstand the loads likely to be imposed on it?

  Yes

  No

  N/A

• Where applicable, have guardrails and toe boards been installed on all open sides where the open space is greater than 30 cm (12 in.) (i.e., the open space between the platform and the adjacent structure)?

  Yes

  No

  N/A

• Are the platforms fully planked?

  Yes

  No

  N/A

• Have the platforms been secured against separation from the supporting equipment, structure, or surface?

  Yes

  No

  N/A

• Is the platform fully planked or decked with no gaps greater than 1 inch?

  Yes

  No

  N/A

• Is the scaffold erected with the ledgers and bearers level and the vertical members plumb?

  Yes

  No

  N/A

• If applicable, is the scaffold constructed, installed, and used in accordance with the written instructions of a professional engineer with respect to the following?<br>-Bracing, if the scaffold is enclosed by a tarpaulin or other cover<br>-Scaffolding higher than 38 m (125 ft.)<br>-Scaffolding higher than 25 m (80 ft,) if stairways are o included<br>-A scaffold used to support a temporary floor<br>-A scaffold suspended or cantilevered from a structure<br>-A scaffold system supported by a centenary line<br>-A needle-beam scaffold<br>-An outrigger scaffold<br>-Other high-risk situations (e.g., suspension height exceeds 300 ft.)-

  Yes

  No

  N/A

• Is the scaffold height greater than three times its minimum base width? If yes, is the scaffoid effectively guyed or secured to a building or structure?

  Yes

  No

  N/A

• Is there a safe way of getting materials to each platform on the scaffold (i e, workers cannot carry materials or equipment up or down a ladder)?

  Yes

  No

  N/A

• Are workers required to work below the scaffold? If so, is appropriate protection against falling materials in place?

  Yes

  No

  N/A

Wood frame Scaffold Requirements

• Is the lumber used to construct the scaffold graded and marked to the National Lumber Grades Authority's Standard Grading Rules for Canadian Lumber<br>(i.e., No. 2 or better lumber that is Douglas fir-larch, hemlock-fr, spruce-pine-fir, or coast Sitka spruce)?

  Yes

  No

  N/A

• Is the lumber free of cracks, splits, knots, and damage?

  Yes

  No

  N/A

• Have the vertical uprights been spliced? If yes, have they been spliced as specifed by WCB Standard WPL 1-2004, Design, Construction and Use of Wood Frame Scaffolds?

  Yes

  No

  N/A

Manufactured Scaffold Requirements

• Are all braces, bearers, clamps, and other connections appropriately secured?

  Yes

  No

  N/A

Rolling Scaffold

• Are wheels and casters locked while workers are on the scaffold?

  Yes

  No

  N/A

• Is the scaffold designed and intended to be moved while a worker is on the platform?

  Yes

  No

  N/A

Other Requirements

• Is the work platform being suspended from a crane or hoist? If yes, are appropriate procedures, manufacturer's instructions, and engineering documentation available on site (e.g., rated capacity, critical lift, and designated emergency platform (DEP)?

  Yes

  No

  N/A

• Is the work platform* being mounted on a lift truck? If yes, is appropriate documentation from the manufacturer<br>and/or a professional engineer available on site and is it in accordance with the applicable standard (e.g., rated capacity and platform dimensions)?<br>A forklift-mounted work platform may be used to support workers only if other conventional means are not practicable

  Yes

  No

  N/A

Additional Observations

• Other

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Inspected by

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