Title Page

  • Document Number

  • Client / Site

  • Sub-Contarctor

  • Conducted on (Date and Time)

  • Prepared by

  • Location
  • Area inspected

GENERAL CHECKLIST & MATERIAL STATUS

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

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

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

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

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

  • Is a toe board properly installed when necessary?

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

  • Are all planks correctly graded?

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

  • Is the whole scaffold level and plumb?

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

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

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

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

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

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

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

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

  • Is the ladder secured and in place?

SOFFIT SUPPORT

  • Are head jacks fit and at the correct runouts?

  • Main beams are double or spliced accordingly?

  • Are all beams without defect and fit for use?

  • Are all plywood without defects?

  • All plywood sufficiently secured?

  • Handrails and Holder in place?

  • Are all stopends in and secured correctly?

  • Are flying shutters in and secured correctly?

STATUS OF ENGINEERING

  • Has the drawing been supplied to site?

  • Is the design sufficient for required work?

  • Was is designed by a competent individual?

  • Was the design followed?

  • Was the structure erected by a competent team?

COMPLETION

  • Diviations

  • To be rectified
  • Add media

  • Recommendations

  • Formwork Supervisor

  • Full Name and Signature of the Inspector

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