Specifying scaffold

• Client

• Address

• Conducted on

  Date

• Prepared by

• Location
  Address

Roofing

• Have you confirmed the need for a roofing repair?<br><br>Example: By checking the loft space for leaking water pipes/ tanks and tracing the leak from the underside of the roof to the point of ingress.

  Yes

  No

  N/A

• Upload photo

  Media

• Have you used a metre to check if the wall/ ceiling is wet?<br><br>If work has been done previously we need to verify this isn't just the resulting stain

  Yes

  No

  N/A

• If the work is short duration can a different form of access be used?<br><br>Example: If the work does not consist of heavy materials and can be carried out by one operative, such as; a slipped tile or gutter clearance, can a tower, cherry picker or even a Skyvac be used?

  Yes

  No

  N/A

Glazing

• Have you checked to ensure the window repair cannot be carried out from inside the property?<br><br>Example: Some window frames including Sash windows and skylights can now be removed and installed from inside the property. Did you check with the glazier first?

  Yes

  No

  N/A

Purpose

• What will the scaffold be used for? What task/ tasks will be carried out from the scaffold? Example: The scaffold company may need to hold an ancillary asbestos licence.

Placement of scaffold

• Are there any overhead power cables?

  Yes

  No

  N/A

• Is there a gas flue and if so will the scaffold affect it?

  Yes

  No

  N/A

• Will the scaffold be to close to a trench or other excavation?

  Yes

  No

  N/A

• What is the suspected loading of scaffold?

  Inspection & very light duty= Max bay length 2.4m

  Light duty max bay length= max bay length 2.4m

  General Purpose= max bay length 2.0m

  Heavy duty= Max bay length 1.8m

• What are the ground conditions and what base will be required

  Base plate on level concrete/ level stone or load bearing brickwork

  Base plate on sole board for asphalt/ paving/ grass or compact earth

• Does the area around the scaffold have varying levels or is the ground sloped?

  Yes

  No

  N/A

• What elevations will the scaffold cover?

  Select Front Rear Left Right

  • Front
  • Rear
  • Left
  • Right

• What is the approximate height of the scaffold?

• What is the approximate length of the scaffold?

• Working Lift height?

• Number of lifts?

• Number of working lifts?

• Is a hoist required?

  Yes

  No

  N/A

• Is a Gin wheel required?

  Yes

  No

  N/A

• Is a rubble chute required?

  Yes

  No

  N/A

• Is a loading bay required?

  Yes

  No

  N/A

• Please describe where hoist/ gin wheel/ rubble chute or loading bay should be

• Is vehicle access required under or through the scaffold?

  Yes

  No

  N/A

• Is public access required under or through the scaffold?

  Yes

  No

  N/A

• Is access area protection fan required?

  Yes

  No

  N/A

• Should the working lift be double boarded and sheeted?

  Yes

  No

  N/A

• Are brick guards required ?

  Yes

  No

  N/A

• Is debris sheeting required around working lift?

  Yes

  No

  N/A

• Is debris netting required around working lift?

  Yes

  No

  N/A

• Where should access to the scaffold be positioned?

• If roof work does the edge protection need to be extended up the roof pitch or around the roof edge if it is a flat roof?

  Yes

  No

  N/A

• What security is required around the base of the scaffold or site?

• What is needed to prevent unauthorised access to the scaffold?

• What signage is required?

• Is there a clear vehicle access route for the scaffold to be unloaded?

  Yes

  No

  N/A

• Will the scaffold need to be modified during the project? If so add notes of what modification is required and roughly when?

  Yes

  No

  N/A

• Is there a storage area for materials?

  Yes

  No

  N/A

• Are there any photos or sketches available for the scaffold position that haven't already been uploaded? Select yes then add photos by clicking on the camera icon that will drop down.

  Yes

  No

  N/A

Sign off

• Sign

  Sign