Title Page
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Company Completing Inspection
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Site location
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Main Contractor
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Scaffold owner
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Conducted on
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Prepared by
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Location of scaffold and description
General Site Requirements
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Training certificates / One-line induction in place (confirmed with site EHS/management)
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Handovers certs/GA3 inspection in place (confirm with site EHS/management)
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Risk assessment / Method statement (RAMS) in place and signed (spot check)
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First Aid present on site
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Welfare facilities adequate
- Yes
- No
- N/A
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Site Access & Egress
- Yes
- No
- N/A
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Temporary Works
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Housekeeping / General Work Area
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Waste Management
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Personal Protective Equipment [PPE]
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Harness and lanyards
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Equipment / Tool Use
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MEWP / telescopic Use
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Cutting Operations
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Chemicals
Scaffolding
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Scaffold inspected as per statuary requirement and scaff tag displayed
- Yes
- No
- N/A
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Ground conditions suitable
- Yes
- No
- N/A
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Base plate / screw jack centred on sole board
- Yes
- No
- N/A
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Scaffold erected as per system manual / Tg20
- Yes
- No
- N/A
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Scaffold platforms completely decked with toeboards
- Yes
- No
- N/A
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Double inside handrails installed as required
- Yes
- No
- N/A
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Double outside handrails installed
- Yes
- No
- N/A
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Bracing installed as per scaffold system
- Yes
- No
- N/A
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Brick guards installed as required
- Yes
- No
- N/A
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Debris netting /monarfles / shrink-wrapping installed and in good condition
- Yes
- No
- N/A
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Signage installed e.g. stairs access / ladder access points
- Yes
- No
- N/A
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Scaffold being use by the client as per handover
- Yes
- No
- N/A
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Scaffold boards secured from uplift as required
- Yes
- No
- N/A
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Scaffold tied as per system scaffold manual / design
- Yes
- No
- N/A
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Scaffold tie pull test completed
- Yes
- No
- N/A
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Tie tube cut back and capped
- Yes
- No
- N/A
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Double stop end handrails on board brackets / hop-ups brackets
- Yes
- No
- N/A
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Loadings Bays erected as per manual / design
- Yes
- No
- N/A
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Stair Access erected as per manual / design
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Ladder Access erected as manual / design
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Unauthorised alterations of scaffold by other trades
- Yes
- No
- N/A
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Any site specific concerns
- Yes
- No
- N/A
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Good practices observed on site
- Good
- Fair
- Poor
- N/A