Scaffolding

• Location / Site

• Prepared by

• Conducted on

  Date

Scaffolding

• Photos

  Media

• Scafftag fitted at all access points and clearly visible

  Yes

  No

  N/A

• Access built to requirements

  Yes

  No

  N/A

• Scaffold within the inspection period

  Yes

  No

  N/A

• Competent person erecting / modifying / dismantling

  Yes

  No

  N/A

• Where erecting, modifying or dismantling area below barricaded & sign posted

  Yes

  No

  N/A

• Erect / dismantle – Harness & lanyards used correctly

  Yes

  No

  N/A

• Handrail, Midrail & toe board fitted

  Yes

  No

  N/A

• Ladder(s) are 1 mtr above the landing platform

  Yes

  No

  N/A

• Ladder(s) secured

  Yes

  No

  N/A

• All working platforms are fully planked & secured

  Yes

  No

  N/A

• Ladder safety rail fitted to access

  Yes

  No

  N/A

• SWMS reflect tasks, identifies hazards and appropriate controls are in place

  Yes

  No

  N/A

• Scaffold materials stored in a safe manner

  Yes

  No

  N/A

• Where scaffold in use – Materials stored correctly

  Yes

  No

  N/A

• Encapsulation fitted where objects may be dislodged / fall

  Yes

  No

  N/A

• Penetrations in platforms/access ways covered/toe boards fitted

  Yes

  No

  N/A

• Swing gates correctly fitted

  Yes

  No

  N/A

• Further Findings:

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• Signature:

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