Title Page

  • Conducted on

  • Prepared by

  • Location
  • Client Name

1. Site Conditions

  • 1.1 Adequate welfare facilities, clean, tidy and maintained?

  • 1.2 Adequate safety signage in place ?

  • 1.3 Location and description of workplace (Including any plant, equipment or materials) inspected:

2. Scaffold Surroundings

  • 2.2 Has public protection been provided?

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

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

3. Scaffolding Structure

  • 3.2 Location and description of workplace (Including any plant, equipment or materials) inspected:
  • 3.2 Scaffold square, straight, and plumb in all directions?

  • 3.3 Are scaff-tags fitted at all access/egress points?

  • 3.4 Are Handrail and toe boards fitted where there is a risk of persons or materials falling?

  • 3.5 Do any areas of scaffold exceed the maximum clearance of 225 mm from exterior of building under construction?

  • 3.5 Are working platforms suitable for the trades?

  • 3.6 Are all inside boards secured to prevent movement?

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

  • 3.8 Scaffold build as per TG20 /Design

4. Housekeeping

  • 4.1 Are working areas free of trip hazards?

  • 4.2 Are all the spare materials in a neat and tidy condition?

5. Documentation

  • 5.1 Are the task-specific risk assessment and method statement present on-site?

  • 5.2 Is there a hand over certificate in place?

  • 5.3 Has the previous audit report been closed out?

6. Sign Off

  • 6.1 Name of person completing this report.

  • 6.2 Name of the site person receiving this report.

  • Scaffolding Structure

I confirm the contents of this report have been discussed with myself and I am aware of any issues highlighted in the body of this report.

7. Closure

  • 7.1 I confirm all actions highlight in this report have been actioned on:

Name of the person closing this report.

  • Add signature

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.