Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Site Manager
1. Scaffold vicinity
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1.1. Has public protection been provided?
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1.2. Are there safe guards in place to prevent exposure to power lines?
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1.3. Is scaffold protected from contact by moving vehicles?
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1.4. Do crane operations consider movements around scaffold?
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1.5. Are there controls in place for the storage, handling and use of hazardous chemicals?
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1.6. Are scaffolds erected a safe distance away from trenches or excavations?
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1.7 Other
2. Supporting Structure
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2.1. Is the supporting structure in good condition?
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2.2. Does the supporting structure have adequate strength?
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2.3. Are there sufficient controls to prevent deterioration of the supporting structure?
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2.4. Are all measures to strengthen the supporting structure adequate?
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2.5. Is the risk of the supporting structure being overloaded from other sources adequately controlled?
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2.6. Has confirmation of ground bearing capacity been obtained?
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2.7. If built on soft ground, are sole boards arranged as per any geotechnical advice?
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2.8 Other
3. Sole boards and base plates
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3.1. Are the sole boards positioned in accordance with the drawings / geotechnical advice?
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3.2. Are the soleboards of specified material and in a serviceable condition?
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3.3. Are the soleboards secure?
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3.4. Are there sufficient baseplates?
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3.5. Are the baseplates of the type specified in drawings?
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3.6. Are the baseplates serviceable and of specified dimensions?
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3.7. Are the baseplates secure?
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3.8 Other
4. Scaffold structure
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4.1. Are the standards bearing firmly? (not floating)
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4.2. Are the standards plumb (or as designed)?
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4.3. Are the longitudinal standard spacings as per the drawings?
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4.4. Are the transverse standard spacings as per the drawings?
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4.5. Are the joints in standards as per the drawings?
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4.6. Are the joints in standards secured as per the design (special duty or hung scaffold)?
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4.7. Are the ledgers level (or as designed)?
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4.8. Are the ledgers continuous (or as designed)?
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4.9. Are the lift heights as per the design / drawings?
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4.10. Are the horizontal ledger spacings as per design / drawings?
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4.11. Are the ledgers secured?
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4.12. Are ledger joints correctly positioned (tube and coupler scaffold)?
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4.13. Are the joints in ledgers correctly secured (tube and coupler scaffold)?
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4.14. Are there sufficient transoms/putlogs as per the design / drawings?
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4.15. Are the transoms/putlogs correctly positioned and secured?
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4.16. Is the bracing adequate and as per the design / drawings?
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4.17. Is the scaffold stable?
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4.18. Are the ties correctly positioned and correctly fixed as per the design / drawings?
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4.19 Other
5. Platforms
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5.1. Does the scaffold have the designed number of working platforms?
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5.2. Are the working platforms at the required locations?
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5.3. Are catch platforms correctly positioned?
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5.4. Are the platforms and supporting scaffold constructed for the appropriate duty live loads?
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5.5. Are the platform dimensions suitable for the intended work?
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5.6. Is the edge protection installed as per the design / drawing?
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5.7. Are the platforms correctly constructed?
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5.8. Are planks secured against wind uplift and dislodgement?
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5.9 Other
6. Access and egress
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6.1. Is there safe access and egress to every scaffold platform?
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6.2. Are temporary stairways correctly installed?
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6.3. Are portable ladders of an industrial grade, serviceable and correctly installed?
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6.4. Are access ways and access platforms correctly installed?
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6.5. Are access and egress points suitable for emergency service response?
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6.6 Other
7. Containment sheeting
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7.1. Has the scaffold been designed for wind loading on any containment sheeting?
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7.2. Are the fixing ties installed as per the design / drawings?
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7.3. Are there any rips, tears or openings in the containment sheeting larger than 25mm?
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7.4. Are the overlap joints arranged to prevent materials from allying outside scaffold?
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7.5 Other
8. General fitness for purpose
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8.1. Is there adequate provision for material handling?
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8.2. Are the clearances between the scaffold and adjacent structures less than 225mm?
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8.3. Is there adequate protection from falling debris?
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8.4. Has the scaffold been adequately designed to support all attachments?
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8.5. Are all approaches and platforms effectively lit?
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8.6 Other
9. Mobile scaffold
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9.1. Is the supporting surface hard and flat?
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9.2. Is the area of operation free of floor penetrations, powerlines and other hazards?
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9.3. Are the castor wheel locks in working order? They should be locked at all times, except during movement of the scaffold.
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9.4 Other
Comment, drawing and sign off by inspecting Matrix person
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Sketching area for inspecting person's use
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Include information here about any Improvements created and any further follow up required
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Additional comments by inspecting person
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Name and occupation of inspecting person signing off
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Site Manager
