SCAFFOLD POUR CHECKLIST

• JOB NAME AND NO.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SCAFFOLD POUR CHECKLIST

SCAFFOLD

• SCAFFOLD VISUALLY PLUMB?

  Yes

  No

  N/A

• ALL BRACES INSTALLED FOR THE SCAFFOLD?<br>

  Yes

  No

  N/A

• SCAFFOLD FRAME CONNECTORS, RIVET & HITCH PIN IN PLACE?

  Yes

  No

  N/A

• SCAFFOLD SCREWJACK EXTENSION MEETS THE SEALED DRAWING REQUIREMETS?

  Yes

  No

  N/A

• ALL SCAFFOLD RESTING ON SCREWJACK WITH BASEPLATE OR BASE PLATE WITH RIVET AND HITCH PIN?

  Yes

  No

  N/A

• SCAFFOLD WITH SCREWJACK AND JHEAD/UHEAD ALONG WITH RIVET&HITCH PIN?

  Yes

  No

  N/A

STRINGER & JOISTS

• STRINGER SPACING BY THE DRAWING?

  Yes

  No

  N/A

• STRINGER USED IS THE SAME AS SHOW ON THE DRAWING?

  Yes

  No

  N/A

• JOISTS SPACING BY THE DRAWING?

  Yes

  No

  N/A

• JOISTS USED ARE THE SAME AS SHOW ON THE DRAWING?

  Yes

  No

  N/A

SUBGRADE INFORMATION

• SLAB ON GRADE IN PLACE AND DOES THE SCAFFOLD LEGS HAVE ENOUGH BEARING?<br><br>

  Yes

  No

  N/A

• IF SLAB ON GRADE IS NOT IN PLACE, WHAT IS THE SUBGRADE AVAILABLE? IS COMPACTION AND BEARING ENOUGH FOR THE SCAFFOLD LEG<br>?

  Yes

  No

  N/A

• IS THE MUDSILL LAYOUT BY THE SEALED DRAWING?

  Yes

  No

  N/A

• ALL MUDSILLS CENTERED UNDER THE FRAME LEG AND COMPLETELY BEARING ON DIRT/GRAVEL?

  Yes

  No

  N/A

• IS THERE A POTENTIAL RUNOFF UNDER THE MUDSILL AFTER RAIN?

  Yes

  No

  N/A