Scaffold Inspection Report

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client Name

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

  Good

  Fair

  Poor

  N/A

• 1.2 Adequate safety signage in place ?

  Good

  Fair

  Poor

  N/A

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

  Select Independent Tied Access Scaffold Loading Bay Access Staircase Protection Gantry Birdcage Scaffold Gin Wheel and Rope Harness and Lanyard

  • Independent Tied Access Scaffold
  • Loading Bay
  • Access Staircase
  • Protection Gantry
  • Birdcage Scaffold
  • Gin Wheel and Rope
  • Harness and Lanyard

• 2.2 Has public protection been provided?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

• 3.2 Scaffold square, straight, and plumb in all directions?

  Select Scaffold Fit for Purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties

  • Scaffold Fit for Purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties

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

  Pass

  Fail

  N/A

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

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

• 3.5 Are working platforms suitable for the trades?

  Select Scaffold Fit for Purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties

  • Scaffold Fit for Purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties

• 3.6 Are all inside boards secured to prevent movement?

  Safe

  At Risk

  N/A

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

  Pass

  Fail

  N/A

• 3.8 Scaffold build as per TG20 /Design

  NASC TG20 Compliance Scaffold

  Special Design Scaffold

  Engineer Input Required

• 4.1 Are working areas free of trip hazards?

  Select Scaffold Fit for Purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties

  • Scaffold Fit for Purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties

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

  Select Scaffold Fit for Purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties

  • Scaffold Fit for Purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties

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

  Yes

  No

  N/A

• 5.2 Is there a hand over certificate in place?

  Yes

  No

  N/A

• 5.3 Has the previous audit report been closed out?

  Yes

  No

  N/A

• 6.1 Name of person completing this report.

  Sign

• 6.2 Name of the site person receiving this report.

  Sign

• Scaffolding Structure

  Select Scaffold Fit for Purpose Scaffold Pass with observations Scaffold not to be used Unauthorised Scaffold Modifications by Third Parties

  • Scaffold Fit for Purpose
  • Scaffold Pass with observations
  • Scaffold not to be used
  • Unauthorised Scaffold Modifications by Third Parties

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.

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

  Date

Name of the person closing this report.

• Add signature

  Sign