Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Is there a signing in register and has this been completed?

  • Is the fire/emergency plan displayed and do the operatives know what to do in the event of an emergency?

  • Have all the operatives been inducted into the site and Company?

  • Have all operatives been briefed on the site Rams (Safe System Of Work)?

  • Have the Rams been updated?

  • Have toolbox Talks been given?

  • Have the Harness inspections been completed?

  • Has there been any accidents and have they been recorded?

  • Have there been any near misses? Have they been reported to the PC?

  • Are all the operatives wearing the correct PPE (Hard Hat, Safety Boots, Gloves, Hi Vis Vest, Safety Harness and lanyard)?

  • Do the operatives have "Scaff Steps" available on site and is there evidence that they are being used?

  • Are there segregated walkways from moving plant?

  • Other observations

Scaffold compliance

Design

  • Are there TG20 Compliance sheets or design drawings available?

  • Have the Scaffolds been built in accordance with the compliance sheets or design provided?

Footings

  • Are the footings provided by the client suitable for the pending loads?

  • Are sole boards in place and at the correct dimensions?

  • Have base plates been used?

Standards

  • Are the standards correctly plum and within the allowed erection tolerance?

  • Are the joints staggered?

  • Are the standard spacing's to TG20 and within the allowable erection tolerance?

Ledgers

  • Are the Ledgers correctly plum and within the allowed erection tolerance?

  • Are the joints staggered?

  • Are the lift heights within the allowed erection tolerance?

Transoms

  • Are the transoms of the correct length and do they protrude 25mm past the coupler?

  • Is there a transom fitted within 300mm of the node point at ledger braced standards?

  • Are the transoms spaced correctly on boarded and non boarded lifts?

Ledger, Façade and Plan Bracing

  • Is all bracing connected within 300mm of the node point?

  • Is all bracing set at the correct intervals?

  • Is all bracing connected using load bearing fittings?

Ties

  • Are all ties been set at the frequency of the compliance sheets or design drawing?

  • Have primary pull tests been carried out?

  • Have proof pull tests been carried out?

  • Where ties cannot be used is another system in place to retain the scaffold?

Boarded Lift

  • Are the boards in good condition with no excessive splits, or notches?

  • Is the working platform free from gaps and trip hazards?

  • Are all boards 8ft and under secured once and 6ft boards and under boards secured twice to prevent movement?

  • Do all inside standards protrude 1mtr above the working platform?

  • Are all inside boards secured to prevent movement?>

  • Are the boards supported by at least 50mm past their last support and not exceeding 150mm?

Handrails, Toe Boards & Brick Guards

  • Are Handrail and toe boards fitted where there is a risk of persons or materials falling?

  • Are the handrails at the correct height 950mm with a gap not exceeding 470mm between the toe board and the handrails?

  • Are the handrails and toe boards correctly fixed (toe boards over 2 standards) and are the joints not in the same bay as the ledgers below?

  • Are the brick guards in good condition and correctly secured?

Ladder/ stair access

  • Are the ladders on a firm and even base and supported only by the stiles?

  • Are the ladders correctly secured with either lashing or single fittings that wrap around the stiles?

  • Do the ladders protrude at least 1.05mtrs above the working platform? where this is not possible is there an adequate handhold provided?

  • Are the stair treads in sound condition and free from hazards that could cause harm?

  • are the stair treads fixed securely with no movement?<br>

  • Are all the Half landings complete with Handrails and toe boards?

Housekeeping

  • Are all the spare materials in a neat and tidy condition?

  • Is there a adequate storage area for the spare materials on site? is it in a workable condition?

Signage & Barriers

  • Is there signage on display to warn other site users?<br>Loading bay signs/ men working over head/ scaffold incomplete.

  • Are there Physical Barriers in use?

SG4:15

  • Does the scaffold appear to be erected in accordance with SG4:15?<br>Are there single guardrails on all non working lifts?<br>Is there a ladder access in place for the scaffold erectors to use?

Recommendations

  • Recommendations and Conclusion

  • Select date

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.