Scaffold Pre-use Inspection

• Job Description

  Select

• Conducted on

  Date

• Prepared by

  Select Anthony Clegg Bradley Hunter Dan Livesey Florin Badescu George Brighton Harry Edwards James Parker Jordan Barker Jordan Rust Martin Brown Morgan Reynolds Neal Depledge Paul Bessent Paul Whitehouse Richard Bowen Same Jennings Simon Stanfield

  • Anthony Clegg
  • Bradley Hunter
  • Dan Livesey
  • Florin Badescu
  • George Brighton
  • Harry Edwards
  • James Parker
  • Jordan Barker
  • Jordan Rust
  • Martin Brown
  • Morgan Reynolds
  • Neal Depledge
  • Paul Bessent
  • Paul Whitehouse
  • Richard Bowen
  • Same Jennings
  • Simon Stanfield
• Location
  Address

• This checklist refers to one of the following timing (please tick as appropriate)

  Select When the tower has been built and taken in to use for the first time After any substantial addition. dismantling or other alteration After any event likely to have affected its strength or stability At a regular internals NOT exceeding 7 days

  • When the tower has been built and taken in to use for the first time
  • After any substantial addition. dismantling or other alteration
  • After any event likely to have affected its strength or stability
  • At a regular internals NOT exceeding 7 days

Description of the tower

• Height

• Type (Mobile)

• Tower Manufacturer (Loyal Scaffold LTD)

• Aluminium

• Scaff Tag number

• Location of tower at time of inspection

The following items to be checked

• 1. Do you have a copy of the manufacturers instruction manual (MIM) to enable you check the tower?

  Yes

  No

• 2. Does a risk assessment for the tower exist?

  Yes

  No

• 3. Check that the environment has no detrimental affect on the safe use of the tower

  Yes

  No

• 4. Are the castors or base plates fully in contact with the ground and bearing their share of the weight of the tower and that all 4 brakes are applied?

  Pass

  Fail

  N/A

• 5. Are the adjustable legs only being used to level the tower and not for gaining height?

  Pass

  Fail

  N/A

• 6. Is a tower level in all planes?

  Pass

  Fail

  N/A

• 7. Is the tower built on firm and stable ground?

  Pass

  Fail

  N/A

• 8. Are stabilisers fitted and are they the correct size for the height of the tower?

  Pass

  Fail

  N/A

• 9. Check that the feet are fully in contact with the ground, and wing nuts are tight

  Pass

  Fail

  N/A

• 10. Check that the feet of the stabilisers are positioned correctly

  Pass

  Fail

  N/A

• 11. Is the bracing pattern used, in accordance with the manufacturer’s instructions?

  Pass

  Fail

  N/A

• 12. Check that all the hooks on the braces are fully engaged

  Pass

  Fail

  N/A

• 13. Check that all the handrails and mid guardrails are fitted in the correct positions

  Pass

  Fail

  N/A

• 14. Check that the interlocking devise, locking frames together are engaged

  Pass

  Fail

  N/A

• 15. Check that all platforms are in the correct position on the tower

  Pass

  Fail

  N/A

• 16. Check that the trap door opens to the outboard side of the tower

  Pass

  Fail

  N/A

• 17. Check that, if the tower is single width that all platforms have trap doors

  Pass

  Fail

  N/A

• 19. Are toe boards fitted to the working platform, or any platform with gear stowed?

  Pass

  Fail

  N/A

Inspection completed – sign off

• Signature of inspector

  Sign

• Inspector Name

• Date

  Date