Title Page
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Site conducted
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Conducted on
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Sub-contractor
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Prepared by
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Upload PASMA Certifcate
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Location
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Mobile Tower Type
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Make
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Type
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Mobile tower ID Number
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Tick the boxes if the item is satisfactory and no comments or actions are required. If you do need to comment, allocate an item number in the box and complete the details below
Mark box N/A if item is not applicable. -
Are environmental factors affecting tower (weather etc.) & add in comments
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Are ground conditions acceptable? ( Flat, Level ground)
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Do all castors have the brakes applied and that they (or the base plates are fully in contact with the ground, and bearing an equal share of weight of the tower?
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Are adjustable legs not over extended, and correctly adjusted so that the tower is level both horizontally and vertically?
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Are stabilisers correctly positioned?
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Does bracing follow the recommended pattern in the instruction manual?
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Are all the locking hooks on braces are correctly engaged?
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Are the frame locking devices engaged and are effective?
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Are the traps or hinged openings of platforms are positioned over the ladder / recommended access method is appropriately positioned?
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Are the main guardrails (at not less than 950mm high) and mid guardrails (there should be no gap of more than 470mm) are installed at every platform, and that toe-boards are installed on platforms where there is a risk of falling objects?
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Are toe boards in place on platform?
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Is there an internal ladder access hatch?
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Does the mobile tower scaffold have a valid 7-day documented inspection on scaff tag?
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COMMENTS
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INSPECTOR SIGN OFF
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Signature
