Title Page
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Conducted on
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Prepared by
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Installation Team Details. Sub-contractor Name
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Location/ Name of Site
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Works carried out
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Materials storage
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Is scaffold present on site?
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Scaffold components, planking/decking in good condition?
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Scaffold is level and plumb?
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Are the ground conditions suitable for the scaffold installation ?
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Are there any open excavations around the scaffold?
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Guard railing in place on all open sides and ends?
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Area around scaffold has been secured/cornered off?
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Are toe boards properly installed when required?
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Proper access to get on and off the scaffold? Ladder <br>secured in place?
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Scaffold control tag has been signed and dated?
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Is the scaffold clean and materials stored within the capacity of the scaffold?
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Have double boards and sheeting been installed over pedestrian and entry/exit areas?
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Scaffold secured to structure to prevent movement?
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Issues raised by the Installation Team
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Additional Comments