Scaffold Turnover Meeting

• Client

• Project name

• Project number

• Project supervisor

• Location of project
  Address

• Inspection Conducted on

  Date

• Prepared by

General project description

General Scaffold Requirements

• Has the scaffold been constructed and loaded in accordance with the design of a qualified person and with a safety factor of at least 4 to 1?

  Yes

  No

  N/A

• Has the maximum load capacity of this scaffold been communicated to the customer?

  Yes

  No

  N/A

• Have all scaffold components been inspected prior to installation?

  Yes

  No

  N/A

• Is the scaffold plumb, square and level?

  Yes

  No

  N/A

• Is the scaffold built on a suitable foundation?

  Yes

  No

  N/A

• Are base plates and mud sills adequate?

  Yes

  No

  N/A

• Is all bracing installed in accordance with the manufacturers instructions and/or OSHA regulations

  Yes

  No

  N/A

• Is the scaffold built four times higher than its width?

  Yes

  No

  N/A

• Is the scaffold braced or secured to prevent collapse?

  Yes

  No

  N/A

• Are ties or guys installed installed at the 4 : 1 height and repeated every twenty feet vertically

  Yes

  No

  N/A

• Are guys or ties installed at both ends and at least every thirty feet horizontally?

  Yes

  No

  N/A

• Is proper clearance maintained around power lines?

  Yes

  No

  N/A

Platform Construction

• Are all working platforms fully planked? (with less than 1" spaces between planks or between planks and uprights)

  Yes

  No

  N/A

• Where a larger gap is necessary, is the gap between the last plank and the uprights less than 9 1/2 inches?

  Yes

  No

  N/A

• Are all working platforms at least 18 inches wide?

  Yes

  No

  N/A

• Are the planks overlapped on supports?

  Yes

  No

  N/A

• Are abutted planks resting on separate support surfaces?

  Yes

  No

  N/A

• Do planks extend at least six inches but no more than twelve inches over the end supports? Or, do planks have cleats, hooks, or are they otherwise restrained?

  Yes

  No

  N/A

• Are planks scaffold grade or equivalent?

  Yes

  No

  N/A

• Are the planks in good condition and free of splits, cracks, cuts, or other damage?

  Yes

  No

  N/A

• Are tops and bottom surfaces of scaffold planks visible and free from paint or other opaque covering?

  Yes

  No

  N/A

Fall Protection

• Does the scaffold have all required guard rails and toe boards?

  Yes

  No

  N/A

• Are the open sides of the scaffold platform less than 14 inches from the face of work?

  Yes

  No

  N/A

• Is fall protection provided when the platform is more than 14 inches from the face of work?

  Yes

  No

  N/A

• Where necessary, have screens been installed to prevent objects from falling from the platform?

  Yes

  No

  N/A

• Has the public been adequately protected from falling objects?

  Yes

  No

  N/A

Pictures

• Add pictures to document the condition of the scaffold as it is handed over to the customer. Add as many as necessary

  Media

Customer Acceptance. By signing below, the customer accepts the scaffold as built and agrees to all terms and conditions of the contract

• Add signature

  Sign