Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Site Name

  • Supervisor Name

Housekeeping

  • Work areas are clean and free of excess trash, debris?

  • Walkways and passageways clear?

  • Material or equipment properly stored?

  • Are all electrical cords, hoses, welding leads, etc., elevated to prevent trip hazards?

  • Scrap material free of protruding nails or other puncture hazards?

  • Bins provided for work areas and potable water available

  • Barricades and/or rebar caps installed and maintained

Scaffold Material Compound

  • Is the Scaffold compound tidy?

  • Materials are not overstocked in the scaffold compound?

  • Are all stillages and bins correctly stacked and safe?

  • Are boards tied or strapped?

  • Is there safe access to and around material?

  • There is no potential slips, trips and falls hazards?

PPE

  • Safety Helmets worn?

  • Hearing Protection worn where required?

  • Eye protection worn?

  • Safety boots worn?

  • Face mask worn?

Fall Protection

  • Body harness worn in a proper manner?

  • Lanyards adequately secured to suitable anchorage?

  • Lifelines, fall protection lines, if required etc. in place and in good order?

  • Fall protection maintained and has current inspection?

  • Weekly GA3 harness inspection completed?

Scaffolds and Ladders

  • Is the ground conditions good and Sloped properly adjacent to scaffold?

  • What is the method(s) of access on the scaffold

  • Is the Scaffold Erected and maintained to good standard

  • Façade Bracing in place at correct intervals on Scaffold

  • Scaffold properly based out on wooden sole boards

  • Proper access and egress provided during erection and dismantling

  • Ladders properly tied

  • Are all Ladders exceeding the landing 1 meter above platform or alternative option in place

  • Internal Fall forward handrails from scaffold platform in place

  • Scaffold platforms clear of loose material

  • Toe boards in place

  • Board retaining clamps in place

  • Brick Guards in place on working lifts

  • There is no evidence of damaged boards, transoms, legers, standards, base plates or jacks?

Scaffolding interfacing with the public

  • There is no part of the Scaffold erected endangering the Public

  • Is there Protection in place where scaffolding interfaces with the Public

  • Proper Access in place through the base of the scaffold

  • Is there a Debris Fan in place overhead

  • Is there any bee/privacy netting or monoflex in use on the scaffolding? Is it adequately secured?

Scaffold Tagging and Signage

  • Scaffold generally Tagged correctly and tags in date?

  • Please provide photo evidence of a Scaffold Tag(s) clearly showing the date

  • Signage at ladder/Stairs Access point in place

  • Is the safe working load signage for working platform displayed?

  • Is the signage for loading Bays displayed?

  • There was no interference with scaffold noted during inspection?

  • There was no interference with scaffold noted on Weekly GA3 inspection report?

  • Please provide evidence of a recent GA3 Inspection Report & Recent Scaffolding Hand Over Cert?

  • Please provide evidence of a Recent Scaffolding Hand Over Cert?

Scaffold Anchors

  • Anchor design in place for External Scaffold

  • Anchor Pull test completed and tagged

  • What date was the inspection completed or when is it due to be completed again?

  • Anchor test certificate completed

  • Scaffold anchor installation sheet signed off by appointed anchor installer

Loading Bays

  • Is the signage on Loading bays in place?

  • Façade bracing in place?

  • Wing bracing on loading bays

  • Loading out in line with design (Loading Bay is Not Overloaded)

Handrail to leading edges

  • Handrail fixed to design

  • Toe boarding in place

  • Inspection tag in place and in date?

  • Did you observe any opes or potential leading edges?

Safety Documentation

  • Company Safety Statement in date & signed?

  • Site Specific Risk Assessment & Method Statement in place?

  • Have all site staff signed up to the RAMS

  • Are toolbox talks completed regularly?

  • SPA completed as required by Main Contractor

  • Are all operatives required operatives CSCS trained?

Good Compliance

  • Please provide evidence of any good compliance observed during the inspection?

  • Please provide an overview of works ongoing by site staff at the time of inspection?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.