Audit

17.22. Scaffolding Checklist.

Are scaffolds constructed and erected only by qualified and trained personnel? AFI 91-203 para. 17.3.1

Are scaffold footings and anchorages designed to support the maximum intended load without settling or displacement? AFI 91-203 para. 17.3.2

Is the use of unstable objects such as barrels, boxes, loose brick or concrete blocks to support scaffolds or planks prohibited? AFI 91-203 para. 17.3.2

Are guardrails installed on open sides and ends of platforms 4 feet or more (and toeboards if 10 feet or more) above the working level? AFI 91-203 para. 17.3.3.1

Is a wire mesh screen installed between the toeboard and guardrail along the entire length of opening where persons work or pass beneath the scaffold? AFI 91-203 para. 17.3.3.2.5

Is the scaffolding designed to support at least four (4) times the intended load? AFI 91-203 para. 17.3.4

Is scaffolding maintained in good condition and are parts inspected prior to their use? AFI 91-203 para. 17.3.6

Are deficiencies such as missing parts or members; broken, bent or rusted parts; or any other condition that could affect the integrity of the scaffold, repaired or replaced immediately? AFI 91-203 para. 17.3.6

Are scaffold pole, legs or uprights plumb and securely and rigidly braced to prevent swaying and displacement? AFI 91-203 para. 17.3.13

Do personnel involved in erection, maintenance and teardown of overhead scaffolding wear hard hats? AFI 91-203 para. 17.3.15

Are measures taken to protect workers during adverse weather conditions? AFI 91-203 para. 17.3.17

Are tools, materials and debris that could create a hazard prohibited from accumulating on scaffolding? AFI 91-203 para. 17.3.18

Is the use of shore scaffolds or lean-to scaffolds prohibited? AFI 91-203 para. 17.3.21

When protection of wooden parts on a scaffold is required, is clear vanish, lacquer or shellac used, and the use of paint prohibited? AFI 91-203 para. 17.3.26

Is scaffolding that is excessively heavy, bulky or awkward moved with the assistance of other workers or mechanical handling equipment to prevent injury to workers? AFI 91-203 para.17.3.27

Signatures

Report Routing

Supervisor Signature:

Notification

Superintendent Signature:

Notification

Commander Signature:

Notification

Safety Office Signature:

Notification

Wing Commander Signature:

Notification

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.