Scaffolding Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

17.22. Scaffolding Checklist.

• 17.22.1. Are scaffolds constructed and erected only by qualified and trained personnel? Reference<br>17.3.1

  Yes

  No

  N/A

• 17.22.2. Are scaffold footings and anchorages designed to support the maximum intended load<br>without settling or displacement? Reference 17.3.2

  Yes

  No

  N/A

• 17.22.3. Is the use of unstable objects such as barrels, boxes, loose brick or concrete blocks to<br>support scaffolds or planks prohibited? Reference 17.3.2

  Yes

  No

  N/A

• 17.22.4. Are guardrails installed on open sides and ends of platforms 4 feet or more (and toeboards if<br>10 feet or more) above the working level? Reference 17.3.3.1

  Yes

  No

  N/A

• 17.22.5. Is a wire mesh screen installed between the toeboard and guardrail along the entire length of<br>opening where persons work or pass beneath the scaffold? Reference 17.3.3.2.5

  Yes

  No

  N/A

• 17.22.6. Is the scaffolding designed to support at least four (4) times the intended load? Reference<br>17.3.4

  Yes

  No

  N/A

• 17.22.7. Is scaffolding maintained in good condition and are parts inspected prior to their use?<br>Reference 17.3.6

  Yes

  No

  N/A

• 17.22.8. Are deficiencies such as missing parts or members; broken, bent or rusted parts; or any<br>other condition that could affect the integrity of the scaffold, repaired or replaced immediately?<br>Reference 17.3.6

  Yes

  No

  N/A

• 17.22.9. Are scaffold pole, legs or uprights plumb and securely and rigidly braced to prevent<br>swaying and displacement? Reference 17.3.13

  Yes

  No

  N/A

• 17.22.10. Do personnel involved in erection, maintenance and teardown of overhead scaffolding<br>wear hard hats? Reference 17.3.15

  Yes

  No

  N/A

• 17.22.11. Are measures taken to protect workers during adverse weather conditions? Reference<br>17.3.17

  Yes

  No

  N/A

• 17.22.12. Are tools, materials and debris that could create a hazard prohibited from accumulating on<br>scaffolding? Reference 17.3.18

  Yes

  No

  N/A

• 17.22.13. Is the use of shore scaffolds or lean-to scaffolds prohibited? Reference 17.3.21

  Yes

  No

  N/A

• 17.22.14. When protection of wooden parts on a scaffold is required, is clear vanish, lacquer or<br>shellac used, and the use of paint prohibited? Reference 17.3.26

  Yes

  No

  N/A

• 17.22.15. Is scaffolding that is excessively heavy, bulky or awkward moved with the assistance of<br>other workers or mechanical handling equipment to prevent injury to workers? Reference 17.3.27

  Yes

  No

  N/A