Swing Stage Inspection Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• Counterweighted properly (4xLxR/B)

  Yes

  No

  N/A

• How many 50lb weights are required?How many are used?

• Counterweights mechanically attached to the beam

  Yes

  No

  N/A

• All Hardware in place and secure

  Yes

  No

  N/A

• Counterweighted system tied back to independent anchor or certified structure

  Yes

  No

  N/A

• Spacing of suspension point equal to hoist spacing

  Yes

  No

  N/A

• Maximum reach for beam not exceeded

  Yes

  No

  N/A

Suspension Wire, Rope, and Hardware

• Wire rope free of damage or defects

  Yes

  No

  N/A

• Wire rope correct size and construction for hoist

  Yes

  No

  N/A

• Termination with properly sized thimble

  Yes

  No

  N/A

• Termination with properly sized shackle

  Yes

  No

  N/A

• Proper fist grip torque

  Yes

  No

  N/A

• Correct amount of fist grips (3 on each end)

  Yes

  No

  N/A

Platforms

• Platforms in good condition, free of damage or defects

  Yes

  No

  N/A

• Platform assembled per manufacturer's instructions

  Yes

  No

  N/A

• Top rail, mid rail, toe board on all open sides'

  Yes

  No

  N/A

• Verify that self-weight plus actual load does not exceed hoist capacities

  Yes

  No

  N/A

Hoists

• Verify proper operation of hoist

  Yes

  No

  N/A

• Verify proper operation of overspeed brake

  Yes

  No

  N/A

• List hoist rated working load

• Hoist in good condition, free of damage or defects

  Yes

  No

  N/A

• All warning and rated decals in place and legible

  Yes

  No

  N/A

Electrical

• Power supply adequate for combined hoists loads

  Yes

  No

  N/A

• Each platform on dedicated circuit

  Yes

  No

  N/A

• Electrical connections in good condition

  Yes

  No

  N/A

• Electrical condition free of damage or defects

  Yes

  No

  N/A

Fall Arrest

• Each anchorage point independent

  Yes

  No

  N/A

• Anchorage point meets 5000lb strength requirements

  Yes

  No

  N/A

• Lifelines maintains minimum 5000lb tensile strength

  Yes

  No

  N/A

• Lifeline in good condition, free of damage or defects

  Yes

  No

  N/A

• Lifeline and mainline protected at all breaks and chaffing points

  Yes

  No

  N/A

• Both lines touching the ground

  Yes

  No

  N/A

• Rope Grab compatible with the lifeline

  Yes

  No

  N/A

• Rope Grab "up" arrow facing up

  Yes

  No

  N/A

• Rope Grab inspected daily

  Yes

  No

  N/A

• Shock absorbing lanyard inspected daily

  Yes

  No

  N/A

• Body Harness Inspected daily

  Yes

  No

  N/A

• Rope Grab hooked onto correct ring on body harness

  Yes

  No

  N/A

General

• Maintain a professional and safe workplace

  Yes

  No

  N/A

• Use of proper P.P.E.- gloves, goggles, etc

  Yes

  No

  N/A

• Reporting damaged/defective equipment to office immediately and remove from service if unsafe

  Yes

  No

  N/A

• Prepared to perform job duties

  Yes

  No

  N/A

• MSDS available for customer if needed

  Yes

  No

  N/A

• Haz-Com trained in products being used

  Yes

  No

  N/A

• Reporting damage or accidents immediately to office

  Yes

  No

  N/A

• Wiping frames and ledges

  Yes

  No

  N/A

• Clean and organized workplace

  Yes

  No

  N/A

• Proper uniform

  Yes

  No

  N/A

• Building sign-in/sign-out log filled out

  Yes

  No

  N/A

• Prompt and professional service

  Yes

  No

  N/A

• Production deadlines and goals met

  Yes

  No

  N/A

• Employee(s) tied off when working within 6' of a parapet less than 42" high

  Yes

  No

  N/A

• Proper permit on site

  Yes

  No

  N/A

• Valid City of Chicago Scaffold Erector user card for all applicable employees

  Yes

  No

  N/A