Title Page
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SCAFFOLD INSPECTION CHECKLIST.
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SCAFFOLD REFERENCE :
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Reason for Inspection
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COMPLETED BY :
Inspection Guide
Register
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(1) Name & Address of the Company / person on whose behalf the inspection was carried out:
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Spartan Scaffold Solutions Ltd
19 Heol Rhyd Ddu Fach
Cwmllynfell, SA9 2WB -
(2) Location of Scaffold :
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(3) Description of Scaffold
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(3) SELECT LOAD CLASS :
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THE SCAFFOLD HAS BEEN ERECTED FOR THE FOLLOWING WORK ACTIVITY :
- ROOFING
- ASBESTOS REMOVAL
- SOFFITS AND FASCIAS
- EXTERNAL INSULATION
- EXTERNAL RENDERING
- OTHER
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PLEASE PROVIDE INFORMATION;
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(4) Date and Time of Audit :
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Scaffold Elevation Photographs
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FOOTINGS : Are all footings satisfactory ?
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BRACING : Is bracing adequate and securely fixed ?
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BOARDING (Working Platform) :
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STANDARDS :
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COUPLINGS :
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GUARD RAILS AND TOEBOARDS
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LEDGERS
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TIES :
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LADDERS :
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ACCESS GATES :
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PROTECTION FOAM :
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SIGNAGE : Is the Scaffold Safety Signs installed to scaffold ?
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Please take Photograph to show that the scaffold safety signs are installed to the scaffold.
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Please set an action to install the Scaffold Safety Signage.
Report
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(5) In addition to any actions already identified in this inspection are there any other matters identified that could give rise to a risk to the health or safety of any person
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Please give details of any matter identified that could give rise to a risk to the health or safety of any person
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(6) Can work activities be carried out safely ?
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(7) Are you the supervisor or manager with over control and responsibility for this project ?
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Please enter the time and date of this inspection and sign in the relevant boxes on to the green scafftag.
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Please take Photograph of Completed Scafftag.
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(8) Record Details of any actions taken as a result of any matter identified in this inspection report.
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(9) Details of any further action considered necessary.
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(10 a) Please enter your job title / position.
- Contract Manager
- Site Manager
- Site Supervisor
- Safety Manager
- External Inspector
- Other
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(10 b) Please enter your name.
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(11) Date and time of inspection :