Scaffolding weekly inspection

• Audit Title

• Tag Number

  Yes

  No

  N/A

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB INFORMATION

• Is the structure sound

  Yes

  No

  N/A

• Is there any defects

  Safe

  At Risk

  N/A

Action to be taken

• Remedial action

  Yes

  No

  N/A

• Action Completed

  Safe

  At Risk

  N/A

Further action required

• List all actions to be completed

  Safe

  At Risk

  N/A

• Action completed

  Safe

  At Risk

  N/A

LADDERS

• Secure and tied

  Yes

  No

  N/A

• Ladders with split or missing rungs taken out of service?

  Yes

  No

  N/A