Title Page

  • Conducted on

  • Prepared by

  • Location
  • Access and egress are suitable and safe?

  • The foundations are adequate and are not likely to be disturbed or undermined;

  • The lower portion of the scaffold is not liable to damage by interference, accident, traffic or any other cause;

  • The scaffold is appropriately constructed to carry the loads, following the guidance from a TG20 compliance sheet or design drawing;

  • The scaffold is correctly tied, anchored and braced to maintain stability under the load and environmental influences. The anchors have been installed and proof tested by a competent person

  • If tied – is there a relevant Pull Test Certificate?

  • The scaffold complies with the requirements of the Local Authority, including lighting, hoarding and fenders, and in general is not constructed in a way that can cause damage or injury to persons due to protruding tubes, low headroom or other issues

  • Any attachments such as fans, loading bays and lifting equipment are properly constructed in compliance with regulations and the recommendations of this guide and justified with a TG20 compliance sheet or bespoke design

  • The foundations have not been disturbed or undermined

  • The standards are on base plates and placed centrally on sole boards (as necessary);

  • Is headroom at entrance to work area a minimum of 1.9m (2.0M preferable)?

  • Guard rails are installed at every lift with none removed;

  • Toe boards have not been removed or displaced;

  • Scaffold boards have not been removed, displaced or damaged;

  • Transoms are suitably placed to support the boards and the maximum support span and overhang has not been exceeded;

  • No scaffold ties have been removed;

  • No bracing has been removed;

  • The brick guards, debris netting or sheeting, where fitted, are still in place and secure;

  • The structure has not been overloaded;

  • There are no other signs of misuse or interference;

  • Brick guards are in place and not defective?

  • lf any signs of misuse or interference are identified they should be reported to the scaffolding contractor immediately

  • Do scaffolders have harnesses and lanyards?

  • Do scaffolders competent and have Valid CSCS cards or similar?

  • Are there any gaps between boards?

  • Are the boards in good repair – not split?

  • Are any of the standards at knee height and pose a risk?

  • Does the scaffold have a Certificate of Proof of construction?

  • If sheeted – are they tied every 1 meter?

  • Are the loading bays constructed to TG20 with ladders?

  • Do the loading bays have wings for stability?

  • Are “check” couplers in place under ledger on loading bay?

  • Brickie platforms – are they safe from falling debris – i.e. toe boarded?

  • Are ladders tied and in good condition?

  • Are staircases free from debris in case of emergency?

  • Date of next 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.