SkyRise Daily Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Are scaffolds and their components inspected daily by competent person

  Yes

  No

  N/A

• Have employees who erect, disassemble, move, operate, repair, and inspect the scaffold been trained by a competent person to recognize the hazards associated with this type of scaffold and with the performance of their duties related to this scaffold project.

  Yes

  No

  N/A

• Have employees who use scaffold been trained by a qualified person to recognize the hazards associated with this type of scaffold and know the performance of their duties related to it?

  Yes

  No

  N/A

• Is max load capacity of this type known and communicated to all employees?

  Yes

  No

  N/A

• Is the load on the scaffolding (including point loading) within the mfg. max load of this particular scaffold?

  Yes

  No

  N/A

• Is the scaffold on base plates?

  Yes

  No

  N/A

• Are all ladders labeled or marked with its load and duty rating?

  Yes

  No

  N/A

• All parts are in place (cross bars, floor panels, rungs, pins, etc) as per manufacturer's instructions

  Yes

  No

  N/A

• Are parts free of defects (cracks, dents, bends, breaks, splits, sharp edges, corrosion, rust, exposed fiberglass, rot, decay, or excessive wear)

  Yes

  No

  N/A

• Are mud sills level, sound, and rigid?

  Yes

  No

  N/A

• Is the scaffold plumb and square?

  Yes

  No

  N/A

• Are rungs and steps are free of mud, grease oil, wet paint, snow, or other slippery substances?

  Yes

  No

  N/A

• Are rungs, steps and side rails are connected securely?

  Yes

  No

  N/A

• Are bolts, rivets, nails, and screws are secure?

  Yes

  No

  N/A

• Are safety shoes or padded feet are in good repair and clean - not missing or loose?

  Yes

  No

  N/A

• Are casters move freely and in good condition?

  Yes

  No

  N/A

• Is locking mechanism to prevent rolling functions properly?

  Yes

  No

  N/A

• Is top handrail in place, correct height and secure?

  Yes

  No

  N/A

• Are metal bearings in locks, wheels, and pulleys are lubricated?

  Yes

  No

  N/A

• Are locking guides or brackets engage properly?

  Yes

  No

  N/A

• Are rope tracks properly in the pulley?

  Yes

  No

  N/A

• Are ropes are not frayed, cut, badly worn, burned, or showing mildew or rot?

  Yes

  No

  N/A

• Are ropes are free of tangles?

  Yes

  No

  N/A

• Are moving parts move freely without binding or too much play?

  Yes

  No

  N/A

• Are 4:1 scaffolds guyed or secured as required

  Yes

  No

  N/A

Fall protection

• Is fall protection required?

  Yes

  No

  N/A

• Are all employees using 100% tie off?

  Yes

  No

  N/A

• Are all required guardrails, mid rails, and toe boards in place?

  Yes

  No

  N/A

• Is there safe access to all work platforms?

  Yes

  No

  N/A

• Is safety helmets being worn?

  Yes

  No

  N/A

• Are work platforms fully decked?

  Yes

  No

  N/A

Sign off

• Comments

• On site representative

  Sign

• Auditor

  Sign