Title Page
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Project address
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Conducted on
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Prepared by
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Location
Site details
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Provide photo of areas where scaffold will be constructed
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Provide photo of area where truck/trailer will be parked
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Is ground suitable for scaffold construction
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What action needs to be taken to make ground safe for scaffold erection
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Is project location a construction site
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Is the construction site tidy and free from hazards
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Will all parts of scaffolding be at least 3m away from power lines
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Can unimpeded access to all exterior doors/stairways be maintained
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Can footprint of scaffold be kept within the property boundaries
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Will the scaffold impede the neighbours in any way (shared laneway, garbage bins, bike storage etc.
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Is the area where the scaffold is to be built free from debris, materials, equipment etc.
General notes
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Are there any other items that should be noted at this time