Title Page
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Conducted on
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Prepared by
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Location
Client
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Client
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Site
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Photo of job
Scaffold vicinity
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Is scaffold erected within the Electrical 'No Go Zone?
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Is scaffold erected a safe distance away from trenches or excavations ?
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Scaff-tags / access and egress
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Are scaff-tags fitted at all access / egress points?
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Are ladders of an industrial grade,serviceable,correctly installed?
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Do ladders extend working platforms by 1.0mt?
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Are ladders installed in the 1:4 mt ratio?
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Does every work platform have safe access/egress?
Scaffold Structure
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Are the soleboards centered?
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Are the soleboards of legal specified dimensions?
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Are the soleboards in serviceable condition?
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Are the standards bearing firmly ? (not floating)
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Are standards plumb?
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Are ledgers and transoms secure and level?
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Does the scaffold feel stable? ( no wobble)
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Is there sufficient ties?
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Photograph any areas of concern
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Tube & Coupler scaffolds
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Are there non regulation tube & coupler scaffold additions to the modular scaffold structure?
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Working Platform
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Does the scaffold have suitable amount of working platforms?
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Are these platforms suitable for the trades?
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Are these platforms constructed for the appropriate live loads? ( light- med-heavy duty )
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Photograph any areas of concern
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General fit for purpose
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Do any areas of scaffold exceed the maximum clearance of 225 mm from exterior of building under construction?
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Do lap boards have a minimum overlap of 500mm used on returns and gaps between working platforms?
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Comments / scaffold photos / drawings
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areas that may need attention
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Sign off by inspecting person
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Name
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Signed
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Date