Title Page

  • Unit Number

  • Conducted on

  • Prepared By

  • Supervisor

  • Reinspection Date

1. Previous Safety Inspection Report

  • Has the previous report been closed out

  • Have all previous issues been rectified

2. Documentation/Signage

  • Is there a current scaffold tag displayed in a conspicuous location (eg scaffold access points)?

  • Does the scaffold tag indicate the duty rating per bay?

3. Foundations. Sole plates/base plates

  • Is the ground condition supporting the scaffold form a solid base

  • Is trenching or other excavation works isolated from the vicinity of sole plates?

  • Are soleplates (where required on soft ground) in good condition and are they secured or positioned to prevent them being dislodged?

  • Are base plates positioned centrally on the sole plates?

4. Scaffold structure

  • Are the standards sitting plumb and firm on the base plates?

  • Are the standards plumb through the full height?

  • Are ledgers and transoms level and fully secured

  • Is bracing in place at the traverse ends of the scaffold?

  • Is face bracing fitted to both end bays as well as every third bay along the face of the scaffold?<br>

  • Does bracing extend to the full height?

  • Have unauthorised additions, attachments or improvisations to the scaffold been eliminated?

5. Access and egress

  • Is there access and egress to all working platforms from the ground?

  • Where access ladders are used: are they fitted correctly • are they adequately secured at the top and bottom? • are they pitched 1:4? • do they extend 900mm above the landing? • are they in good condition and free of defects?

  • Where access stairs are used, are they bearing squarely and adequately on transoms and are there no excessive gaps between the platform and transoms?

  • If there is access from the structure, has adequate fall protection been installed between structure and scaffold

6. Electrical Hazard

  • Is scaffolding erected beyond the No Go Zone of overhead power lines? (4.6m horizontally either side and 5m vertically above or below power lines)*

  • If within the No Go Zone, is written permission available from the power supply company and have the lines been de energized?

7. Perimeter edge protection

  • Are handrails, mid rails and kick plates installed on all working decks and access platforms from which a person or object could fall 2m or more, and are they secure?

  • Where the gap between the structure and the scaffold is more than 225mm, has edge protection been provided?

8. Platforms / decks

  • Are working platforms fully decked? (no gaps or missing boards / planks)

  • Are platforms free of obstructions? (electrical leads, building rubble and debris causing tripping hazards)

  • Where materials are stacked on platforms, is there sufficient access provided? (min. 450mm for persons and tools [2 planks], min 675mm wide for persons and materials [3 planks])*

  • Are the loads on working platforms within their design load ( Heavy Duty = 675kg approx 155 bricks per bay & 2 persons)

  • Do deck planks have a minimum overlap of 500mm on returns and gaps between working platforms and are fully secured

  • Is there 2 meters in height between decks and is top deck 1700mm down from top plate

9. Ties and connections

  • Is the scaffold secured to the structure with ties?

  • Is the scaffold stable when standing on the top deck

10. Hop-up brackets

  • Where hop-up brackets are used are they on the inside face only?

  • Are they being maintained at no more than one V-pressing above or below the working platform?

11. Additional Issues

  • Are there any additional safety issues with the scaffold

  • Comments

  • Photos

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.