Scaffolding Checklist

• Document Number

• Client / Site

• Sub-Contarctor

• Conducted on (Date and Time)

  Date

• Prepared by

• Location
  Address

• Area inspected

GENERAL CHECKLIST & MATERIAL STATUS

• Are all the sufficient scaffold components in place and without any defects?

  Yes

  No

  N/A

• Are the base plates in firm contact with mud sills and the frame of the scaffold?

  Yes

  No

  N/A

• Are all scaffold legs braced and braces properly attached to the scaffold?

  Yes

  No

  N/A

• Is the scaffold secured to the structure to prevent movement?

  Yes

  No

  N/A

• Are brackets, ledger, tubes, planks & accessories properly placed with wedges tightened?

  Yes

  No

  N/A

• Is a toe board properly installed when necessary?

  Yes

  No

  N/A

• Are all scaffold components and planking in an acceptable condition?

  Yes

  No

  N/A

• Are all planks correctly graded?

  Yes

  No

  N/A

• Is a qualified, competent person in charge of the erection/inspection?

  Yes

  No

  N/A

• Is the whole scaffold level and plumb?

  Yes

  No

  N/A

• Were screw jacks/ props used to level and plumb the scaffold whenever required?

  Yes

  No

  N/A

• Has the area around the scaffold been secured and safety signs installed?

  Yes

  No

  N/A

• Are all necessary guard rails in place on all open sides and ends?

  Yes

  No

  N/A

• Has there been a visual check to verify clamps are secured in place?

  Yes

  No

  N/A

• Is there proper access to get on and off the scaffold/deck?

  Yes

  No

  N/A

• Has "Don't Use" tag been placed at all access points where inspection failed?

  Yes

  No

  N/A

• Has the scaffold control tag been signed and approved for this particular use?

  Yes

  No

  N/A

• Do all planks/sole plates have a minimum of 233mm width and extend 300 beyond supports?

  Yes

  No

  N/A

• Is the ladder secured and in place?

  Yes

  No

  N/A

SOFFIT SUPPORT

• Are head jacks fit and at the correct runouts?

  Yes

  No

  N/A

• Main beams are double or spliced accordingly?

  Yes

  No

  N/A

• Are all beams without defect and fit for use?

  Yes

  No

  N/A

• Are all plywood without defects?

  Yes

  No

  N/A

• All plywood sufficiently secured?

  Yes

  No

  N/A

• Handrails and Holder in place?

  Yes

  No

  N/A

• Are all stopends in and secured correctly?

  Yes

  No

  N/A

• Are flying shutters in and secured correctly?

  Yes

  No

  N/A

STATUS OF ENGINEERING

• Has the drawing been supplied to site?

  Yes

  No

  N/A

• Is the design sufficient for required work?

  Yes

  No

  N/A

• Was is designed by a competent individual?

  Yes

  No

  N/A

• Was the design followed?

  Yes

  No

  N/A

• Was the structure erected by a competent team?

  Yes

  No

  N/A

COMPLETION

• Diviations

  Yes

  No

  N/A
To be rectified

• Add media

  Media

• Recommendations

• Formwork Supervisor

  Sign

• Full Name and Signature of the Inspector

  Sign