Scaffolding Safety Report

• Site conducted

• Scaffold Number

• Location

• Detailed Location

• Description of work

• Contractor / Customer

• Design / Drawing Reference

• Built By / Erector

• Conducted Date and Time

  Date

• Handover Date

  Date

• Decommission Date

  Date

• Inspected By

• Client Inspected

  Yes

  No

  N/A

General Information

• Scaffold type

  Conventional

  Mixed scaffold type

  System

• Type of scaffolding

  Select Access Only Birdcage Bridge Span Cantilever Crash Deck Handrail Hoist Tower Independant Laydown Loading Gantry Mixed Type Of Scaffolding Mobile Tower Other Screen Frame Shore Spurred Platform Staircase Hanging Scaffold Tower Walkway

  • Access Only
  • Birdcage
  • Bridge Span
  • Cantilever
  • Crash Deck
  • Handrail
  • Hoist Tower
  • Independant
  • Laydown
  • Loading Gantry
  • Mixed Type Of Scaffolding
  • Mobile Tower
  • Other
  • Screen Frame
  • Shore
  • Spurred Platform
  • Staircase
  • Hanging Scaffold
  • Tower
  • Walkway

• Work type

  Select Capital Cyclical Lifecycle Maintenance Repairs Turnaround

  • Capital
  • Cyclical
  • Lifecycle
  • Maintenance
  • Repairs
  • Turnaround

• Photos

  Media

Base

• Is the scaffold on a solid base?

  Yes

  No

  N/A

• Does every standard have a base plate?

  Yes

  No

  N/A

• Are sole boards of the correct dimension being used?

  Yes

  No

  N/A

Geometry

• Are the standards vertical?

  Yes

  No

  N/A

• Are the ledgers and transoms horizontal?

  Yes

  No

  N/A

• Are the joints in the standards staggered?

  Yes

  No

  N/A

• Are the joints in the ledgers staggered?

  Yes

  No

  N/A

• Are the transoms correctly spaced?

  Yes

  No

  N/A

• Are transoms more than 50MM past the fitting?

  Yes

  No

  N/A

• Is there any other faults with the geometry of the scaffold?

Platforms - Boards

• Are the supports correct and evenly distributed?

  Yes

  No

  N/A

• Is the over hang of the boards 50MM?

  Yes

  No

  N/A

• Is there any gaps or holes in the boards?

  Yes

  No

  N/A

• Are lapped boards safe?

  Yes

  No

  N/A

• Are boards secure?

  Yes

  No

  N/A

• Is there any other faults with the platforms or boards?

Bracing

• Is the ledger bracing fitted on alternate pairs of standards for the full height of the scaffold?

  Yes

  No

  N/A

• Is the facade bracing fixed to every lift?

  Yes

  No

  N/A

• Is bracing within 300MM from the node point?

  Yes

  No

  N/A

• Is there any other faults with the bracing?

Tubes and Fittings

• Are the tubes and fittings used in good condition?

  Yes

  No

  N/A

• Have the correct couplers been used?

  Yes

  No

  N/A

• Are all fittings tightened sufficiently?

  Yes

  No

  N/A

• Are check couplers fitted as required?

  Yes

  No

  N/A

• Are caps and nipple caps used where needed?

  Yes

  No

  N/A

• Is there any other faults with the tube and fittings?

Access

• Is access provided to the full height of the scaffold?

  Yes

  No

  N/A

• Are the ladders positioned at the correct angle?

  Yes

  No

  N/A

• Is the ladder tied correctly and the feet on a firm base?

  Yes

  No

  N/A

• Do ladders rise in standard height above platforms?

  Yes

  No

  N/A

• Does the scaffold have ladder gates and trapdoors fitted on every access point?

  Yes

  No

  N/A

• Is there any other faults with access?

Loading

• Is the scaffold correct for its intended use?

  Yes

  No

  N/A

• Are loads on the scaffold evenly distributed?

  Yes

  No

  N/A

• Are stacked materials secure?

  Yes

  No

  N/A

• Loading

  Select Class 1 UDL 0.75KN - 75KG Class 2 UDL 1.50KN - 150KG Class 3 UDL 2.00KN - 200KG Class 4 UDL 3.00KN - 300KG Class 5 UDL 4.50KN - 450KG Class 6 UDL 6.00KN - 600KG Special loading purpose

  • Class 1 UDL 0.75KN - 75KG
  • Class 2 UDL 1.50KN - 150KG
  • Class 3 UDL 2.00KN - 200KG
  • Class 4 UDL 3.00KN - 300KG
  • Class 5 UDL 4.50KN - 450KG
  • Class 6 UDL 6.00KN - 600KG
  • Special loading purpose

Ties

• Are sufficient ties used in accordance with safety regulation?

  Yes

  No

  N/A

• Are ties fixed with a double coupler?

  Yes

  No

  N/A

• Are ties fixed on both inner and outer ledgers or standards?

  Yes

  No

  N/A

• Is there a sufficient amount of ties in the scaffold?

  Yes

  No

  N/A

• Tie Type

  Physical

  Mechanical

Guard Rails and Toe Boards

• Are the rails fixed at least 950mm above the platform?

  Yes

  No

  N/A

• Is the rail fixed a maximum of 470mm above the toe board?

  Yes

  No

  N/A

• Are toe boards fitted to all platforms and at least 150mm and secure?

  Yes

  No

  N/A

• Does the scaffold have all the guardrails?

  Yes

  No

  N/A

• Does the scaffold have all the toe boards?

  Yes

  No

  N/A

• Is there any faults with the handrails or toe boards?

Scaffolding Tag

• Is the Scafftag displayed in a safe and accessible area?

  Yes

  No

  N/A

• Has the Scafftag been completed correctly?

  Yes

  No

  N/A

• Have the inspections been written in and signed by the authorized person?

  Yes

  No

  N/A

• Are the inspection frequencies in accordance with the standard regulations?

  Yes

  No

  N/A

Recommendation

• Overall Ranking

  Pass

  Fail

  Pass with obervations

• Recommended scaffolding tag

  Green

  Yellow

  Red

• Recommendations or other requirements

Completion

• Inspector's Name and Signature

  Sign