Thompson Thrift Construction Scaffold Checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Subcontractor

General Questions

• Is each scaffold and scaffold component capable of supporting its own weight and at least 4 times the maximum load applied to it?

  Yes

  No

  N/A

• Do the poles, legs, posts, frames, and uprights bear on baseplate and mud sills on adequate firm foundations to eliminate settling or displacement?

  Yes

  No

  N/A

• Are the legs and frames plumb and have cross bracing completely installed to prevent swaying and displacement?

  Yes

  No

  N/A

• Are all legs, frames and posts joined together vertically and locked by coupling pins?

  Yes

  No

  N/A

• If you are using scaffolds with a height to base width ratio of more than four to one (4:1), is the scaffolding restrained from tipping by guying, tying, bracing, or equivalent means?

  Yes

  No

  N/A

• If you are tenting or otherwise enclosing the scaffold with plastic or other material, is the scaffolding restrained from tipping by guying, tying, bracing or equivalent means?

  Yes

  No

  N/A

• Are employees accessing the scaffolding by portable ladders, attachable ladders or other approved devices?

  Yes

  No

  N/A

• Are employees prohibited from using the cross bracing as a means of access?

  Yes

  No

  N/A

• Is your scaffold platform, for all working levels, fully planked or decked between the front uprights and a guardrail supports?

  Yes

  No

  N/A

• Is each work platform installed so that the space between adjacent platforms and uprights is no more than 1 inch?

  Yes

  No

  N/A

• Are wooden scaffold planks and platforms in good repair and not covered with opaque finishes?

  Yes

  No

  N/A

• Are guardrail systems ( top-rail, mid-rail and toe-board) installed along all open sides and ends of the platform at working levels of 10 feet or more?

  Yes

  No

  N/A

• Are the guardrail systems capable of withstanding, without failure, a force of at least 200 pounds applied in any outward or downward direction?

  Yes

  No

  N/A

• Are you requiring fall protection when employees are working on a scaffold more than 10 feet above a lower-level that has unprotected sides and ends?

  Yes

  No

  N/A

• Do you provide employees with protection from falling objects with the installation of toeboards?

  Yes

  No

  N/A

• If the front edge of all work platforms are more than 14 inches from the face of the work, are guardrail systems in place or personal fall arrest systems in use?

  Yes

  No

  N/A

• Is the maximum distance from the face of the work for plastering and lathing operations 18 inches or less to the front edge of the work platform?

  Yes

  No

  N/A

• Are all work platforms not cleated, extending over the centerline of its support a minimum of 6 inches?

  Yes

  No

  N/A

• Are all end platforms 10 feet or less extending over their supports no more than 12 inches, unless they are installed so that the cantilevered portion is capable of supporting employees and material?

  Yes

  No

  N/A

• Are all end platforms 10 feet or more extending over their supports no more than 18 inches, unless they are installed so that the cantilevered portion is capable of supporting materials and employees?

  Yes

  No

  N/A

• At all points were the platform changes direction, are the platforms resting on the bearer at an angle other than a right angle, laid first and the platform resting at a right angle on the same bearer laid second and on top of the first?

  Yes

  No

  N/A

• Additional comments

• Superintendent

  Sign

• Superintendent

  Sign