Federico Ceccherini

Working at Height Inspection

Scaffolding Check-List

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Title Page

Conducted by
Conducted on
Location

Untitled Page

SOLE PLATE IS FIXED
BASE PLATES HAVE BEEN PROVIDED IN THE STRUCTURE
VERTICALITY OF STANDARDS HAS BEEN CHECKED AND FOUND OK
LADDERS ARE PROPERLY FIXED
TRANSOMS PROPERLY FIXED
BRASSES HAVE BEEN PROVIDED FOR STRENGTH OF STRUCTURE
PLANKS ARE PROPERLY FIXED AND SECURED
TOE BOARDS HAVE BEEN PROVIDED WITH ALL THE PLATFORMS
MID RAIL HAS BEEN CONNECTED WITH THE STRUCTURE
HAND RAIL HAS BEEN ATTACHED MORE THAN 1 METER HIGH
SCAFFOLDING HAS BEEN LEVELED PROPERLY
ANGLE OF LADDERS IS 75O DEGREE AND LOCATION ACCEPTABLE
LADDER IS FIXED FROM BOTH ENDS I.E. TOP AND BOTTOM
LADDER PROJECTION IS 1M ABOVE THE PLATE FORM LEVEL
SAFETY FACTOR FOR EACH TYPE SCAFFOLD HAS BEEN MAINTAINED
THE SCAFFOLDING HAS BEEN PROVIDED WITH GREEN TAG BEARING THE VALID DATE AND AUTHORIZED SIGNATURES.

Federico Ceccherini

Working at Height Inspection

Scaffolding Check-List

Use this Template

Print as PDF

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