Title Page
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Project:
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Contract #:
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What3Words for site:
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Site Manager Present:
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Inspected by:
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Conducted on:
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Current Site Activity:
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Client / Site
SCAFFOLD BASE
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Are all baseplates and sole boards present ?
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Are all baseplates on a solid and even surface ?
GEOMETRY
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Are the ledger and standard joints staggered between lifts ?
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Are ledgers and standards horizontal and vertical ?
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Are the transoms correctly spaced ?
PLATFORMS
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Are scaffold boards sound and secure ?
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Are the butt joints at least 50mm and no more than 150mm ?
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Are platforms fully boarded ?
BRACING
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Are all facade bracings correct ?
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Are all ledger bracings correct ?
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Are all plan bracings correct ?
MATERIALS
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Are materials in good condition ?
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Are check couplers in place and correct ?
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Are the correct couplers being used ?
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Are all couplers tightened ?
HANDRAILS + TOE BOARDS
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Are all handrails present and gaps not exceeding 470mm ?
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Are all handrails secured and at least 950mm above the platform ?
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Are all toe boards in place, correctly fitted and at least 150mm high ?
ACCESS & LADDERS
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Are all ladders sound and fitted correctly ?
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Are Ladder gates / hatches fitted ?
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Are access staircases sound and tied to the main structure ?
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Are all stair treads tightened
LOADING
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Are Materials evenly distributed and within the load class >
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Are materials stacked safely are brickguards required ?
TIES
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Have ties been tested and recorded ?
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Are ties fixed and correctly attached ?
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Are there a sufficient amount of ties installed ?
SHEETING
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Does the scaffold require debris net or plastic weather clad ?
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Is all debris net or weather clad fixed and secured in place correctly ?
DESIGN
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Is the structure of a generic type TG20:21 compliant scaffold?
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Does the structure have or require a design to be compliant with TG20:21 ?
NOTES
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ANY OTHER MATTERS TO BE ADDRESSED
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Add media
SUMMARY OF FINDINGS
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SUMMARY, OVERALL VIEW AND RECOMMENDATIONS OF THE SCAFFOLD
ACTION DATE
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All of the faults with the scaffold contained with in this report must be actioned within 7 days.
Alternatively the scaffold is to be put out of service and all site personnel are prohibited to use any areas not actioned.
Please provide date and signature of the person taking action:
