Scaffold Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Previous Reports

• Has the previous report been reviewed?

  Yes

  No

  N/A

• Have all actions from previous report been closed out?

  Yes

  No

  N/A

General Site conditions

• Are walkways clear from obstructions?

  Yes

  No

  N/A

• Are vehicles segregated from pedestrians were ever possible?

  Yes

  No

  N/A

• Adequate signage?

  Yes

  No

  N/A

• Adequate welfare facilities, clean, tidy and maintained?

  Yes

  No

  N/A

• Hand tools in good order?

  Yes

  No

  N/A

• Are materials stored safely?

  Yes

  No

  N/A

Qualification of Scaffolders?

• Is the scaffold being erected under the directions of a competent person?

  Yes

  No

  N/A

• Do all scaffolders hold a current CISRS Part 1 Card?

  Yes

  No

  N/A

• Do all scaffolders hold a current CISRS System scaffolding certificate for system been erected?

  Yes

  No

  N/A

• Do all scaffolders hold PASMA Cards for Mobile aluminium /GRP towers?

  Yes

  No

  N/A

Erection Process

• Site specific Method Statement/Risk Assessment briefed and understood?

  Yes

  No

  N/A

• Rescue plan briefed and understood?

  Yes

  No

  N/A

• Have scaffolds been designed or built as per TG20?

  Yes

  No

  N/A

• Is there evidence that the scaffolds are erected as per SG4 2015

  Yes

  No

  N/A

• Are Scafftags completed and displayed?

  Yes

  No

  N/A

• Are all compulsory signs displayed (Scaffold incomplete etc)?

  Yes

  No

  N/A

• Scaffolders wearing safety harnesses?

  Yes

  No

  N/A

• Scaffolders clipping on as required?

  Yes

  No

  N/A

• Only scaffolders modifying scaffolds?

  Yes

  No

  N/A

• Is the scaffold on base plates?

  Yes

  No

  N/A

• Are soul plates level, sound and rigid and minimum dimension 450mm x 225mm?

  Yes

  No

  N/A

• Is the scaffold plumb and squared?

  Yes

  No

  N/A

• Correct fittings used?

  Yes

  No

  N/A

• All bracing installed?

  Yes

  No

  N/A

Means of access?

• Staircase?

  Yes

  No

  N/A

• External Tower with single internal ladder?

  Yes

  No

  N/A

• External Tower with multiple internal ladders?

  Yes

  No

  N/A

• Internal ladder with trap door on working platform.?

  Yes

  No

  N/A

• External ladder and gate?

  Yes

  No

  N/A

Anchorage systems / scaffold ties

• No ties required?

  Yes

  No

  N/A

• Ring (Hilti)?

  Yes

  No

  N/A

• Screw plug?

  Yes

  No

  N/A

• Chemical anchors?

  Yes

  No

  N/A

• Self tapping (Excalibur)?

  Yes

  No

  N/A

• Through ties?

  Yes

  No

  N/A

• Reveal ties (Max 50%)?

  Yes

  No

  N/A

• Rakers and butt ties?

  Yes

  No

  N/A

• Buttress, if used must be designed?

  Yes

  No

  N/A

• Ties tested (Min 5% as per TG4 11?

  Yes

  No

  N/A

Working platforms and edge protection

• Are all working platforms fully boarded?

  Yes

  No

  N/A

• Are scaffold boards secured (TG 12)?

  Yes

  No

  N/A

• Height to handrail, minimum 950mm?

  Yes

  No

  N/A

• Minimum height of toe board 150mm?

  Yes

  No

  N/A

• Intermediate handrail fitted ensuring no gap greater than 470mm?

  Yes

  No

  N/A

• Are all materials stored safely and scaffolds not overloaded?

  Yes

  No

  N/A

• Are brick guards in place and secure?

  Yes

  No

  N/A

Summary

• Comments

• MJD SCAFFOLDING SUPERVISOR

  Sign

• AUDITOR

  Sign