Scafftech Scaffolding Safety Checklist

• Division

• Site/Depot

• Date of Inspection

  Date

• Inspection Carried Out By

• Location Inspected
  Address

• Nature of Work Inspected

• INSTRUCTIONS:
  -------------------------------------
  1. Answer the applicable questions below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

ITEM

• 1. Training, Certificate & Supervision

  ✔

  ✖

  N/A

• 2. Records & Paperwork

  ✔

  ✖

  N/A

• ■ Risk Assessment

  ✔

  ✖

  N/A

• ■ Method Statement

  ✔

  ✖

  N/A

• ■ Permit to Work

  ✔

  ✖

  N/A

• ■ Handover Certificate

  ✔

  ✖

  N/A

• ■ Tie proof testing report TG4

  ✔

  ✖

  N/A

• ■ Scaffold Inspection Register

  ✔

  ✖

  N/A

• ■ Design/Calculations

  ✔

  ✖

  N/A

• ■ Other

  ✔

  ✖

  N/A

• Please Specify

• 3. Work at Height

  ✔

  ✖

  N/A

• ■ Falls of persons Inc SG4

  ✔

  ✖

  N/A

• ■ Falls of materials

  ✔

  ✖

  N/A

• 4. Handling & Storage of Materials

  ✔

  ✖

  N/A

• 5. Foundations/Ground Conditions

  ✔

  ✖

  N/A

• 6. Sole Pads

  ✔

  ✖

  N/A

• 7. Base Plates/Jacks

  ✔

  ✖

  N/A

• 8. Standards

  ✔

  ✖

  N/A

• 9. Ledgers

  ✔

  ✖

  N/A

• 10. Transoms

  ✔

  ✖

  N/A

• 11. Couplers

  ✔

  ✖

  N/A

• 12. Check couplers/Supplementary Transoms

  ✔

  ✖

  N/A

• 13. Facade Bracing

  ✔

  ✖

  N/A

• 14. Ledger Bracing

  ✔

  ✖

  N/A

• 15. Plan Bracing

  ✔

  ✖

  N/A

• 16. Other Bracing

  ✔

  ✖

  N/A

• 17. Platform/Boards/Decks

  ✔

  ✖

  N/A

• 18. Guard-rails & Toe-boards

  ✔

  ✖

  N/A

• 19. Ties

  ✔

  ✖

  N/A

• 20. Buttressing/Ground Rakers/Kentledge

  ✔

  ✖

  N/A

• 21. Guys/Wires/Ground Anchors

  ✔

  ✖

  N/A

• 22. Loading Duty

  ✔

  ✖

  N/A

• 23. Method of Access - Stairs/Ladders/Gates/Traps

  ✔

  ✖

  N/A

• 24. Protection of Public & Others

  ✔

  ✖

  N/A

• 25. Security/Anti-dimbing

  ✔

  ✖

  N/A

• 26. Beams/Bridging

  ✔

  ✖

  N/A

• 27. Sheeting/Netting/Banners

  ✔

  ✖

  N/A

• 28. Earth Bonding

  ✔

  ✖

  N/A

• 29. Scaffold Tag/User Information

  ✔

  ✖

  N/A

• 30. Warning Signs

  ✔

  ✖

  N/A

• 31. Scaffold Inspection & Handover

  ✔

  ✖

  N/A

• 32. Rescue & Emergency Arrangements

  ✔

  ✖

  N/A

• 33. Other

  ✔

  ✖

  N/A

• Please Specify

Completion

• Inspected by: (Name and Signature)

  Sign