Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Onsite paperwork

  • Scaffold design onsite and sufficient?

  • Risk assessments and method statements signed and sufficient?

  • Handover certificates available and sufficient?

  • Scaffold tags in place and out of use signage used?

1. Scaffold vicinity

  • 1.1. Has public protection been provided?

  • 1.2. Are there safe guards in place to prevent exposure to power lines?

  • 1.3. Is scaffold protected from contact by moving vehicles?

  • 1.4. Do crane operations consider movements around scaffold?

  • 1.5. Are there controls in place for the storage, handling and use of hazardous chemicals?

  • 1.6. Are scaffolds erected a safe distance away from trenches or excavations?

  • 1.7 Other

2. Supporting Structure

  • 2.1. Is the supporting structure in good condition?

  • 2.2. Does the supporting structure have adequate strength?

  • 2.3. Are there sufficient controls to prevent deterioration of the supporting structure?

  • 2.4. Are all measures to strengthen the supporting structure adequate?

  • 2.5. Is the risk of the supporting structure being overloaded from other sources adequately controlled?

  • 2.6. Has confirmation of ground bearing capacity been obtained?

  • 2.7. If built on soft ground, are sole boards arranged as per any geotechnical advice?

  • 2.8 Other

3. Sole boards and base plates

  • 3.1. Are the sole boards positioned in accordance with the drawings / geotechnical advice?

  • 3.2. Are the soleboards of specified material and in a serviceable condition?

  • 3.3. Are the soleboards secure?

  • 3.4. Are there sufficient baseplates?

  • 3.5. Are the baseplates of the type specified in drawings?

  • 3.6. Are the baseplates serviceable and of specified dimensions?

  • 3.7. Are the baseplates secure?

  • 3.8 Other

4. Scaffold structure

  • 4.1. Are the standards bearing firmly? (not floating)

  • 4.2. Are the standards plumb (or as designed)?

  • 4.3. Are the longitudinal standard spacings as per the drawings?

  • 4.4. Are the transverse standard spacings as per the drawings?

  • 4.5. Are the joints in standards as per the drawings?

  • 4.6. Are the joints in standards secured as per the design (special duty or hung scaffold)?

  • 4.7. Are the ledgers level (or as designed)?

  • 4.8. Are the ledgers continuous (or as designed)?

  • 4.9. Are the lift heights as per the design / drawings?

  • 4.10. Are the horizontal ledger spacings as per design / drawings?

  • 4.11. Are the ledgers secured?

  • 4.12. Are ledger joints correctly positioned (tube and coupler scaffold)?

  • 4.13. Are the joints in ledgers correctly secured (tube and coupler scaffold)?

  • 4.14. Are there sufficient transoms/putlogs as per the design / drawings?

  • 4.15. Are the transoms/putlogs correctly positioned and secured?

  • 4.16. Is the bracing adequate and as per the design / drawings?

  • 4.17. Is the scaffold stable?

  • 4.18. Are the ties correctly positioned and correctly fixed as per the design / drawings?

  • 4.19 Other

5. Platforms

  • 5.1. Does the scaffold have the designed number of working platforms?

  • 5.2. Are the working platforms at the required locations?

  • 5.3. Are catch platforms correctly positioned?

  • 5.4. Are the platforms and supporting scaffold constructed for the appropriate duty live loads?

  • 5.5. Are the platform dimensions suitable for the intended work?

  • 5.6. Is the edge protection installed as per the design / drawing?

  • 5.7. Are the platforms correctly constructed?

  • 5.8. Are planks secured against wind uplift and dislodgement?

  • 5.9 Other

6. Access and egress

  • 6.1. Is there safe access and egress to every scaffold platform?

  • 6.2. Are temporary stairways correctly installed?

  • 6.3. Are portable ladders of an industrial grade, serviceable and correctly installed?

  • 6.4. Are access ways and access platforms correctly installed?

  • 6.5. Are access and egress points suitable for emergency service response?

  • 6.6 Other

7. Containment sheeting

  • 7.1. Has the scaffold been designed for wind loading on any containment sheeting?

  • 7.2. Are the fixing ties installed as per the design / drawings?

  • 7.3. Are there any rips, tears or openings in the containment sheeting larger than 25mm?

  • 7.4. Are the overlap joints arranged to prevent materials from allying outside scaffold?

  • 7.5 Other

8. General fitness for purpose

  • 8.1. Is there adequate provision for material handling?

  • 8.2. Are the clearances between the scaffold and adjacent structures less than 225mm?

  • 8.3. Is there adequate protection from falling debris?

  • 8.4. Has the scaffold been adequately designed to support all attachments?

  • 8.5. Are all approaches and platforms effectively lit?

  • 8.6 Other

9. Comment, drawing and sign off by the scaffold inspector

  • Sketching area for inspecting person's use

  • Include information here about scaffold Improvements created and any further follow up required

  • Additional comments by the scaffold inspector

  • Name and Position of the scaffold inspector

10. Customer sign off

  • I accept the findings of the scaffold 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.