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Scaffold Inspection Checklist Template

The scaffold inspection checklist documents a safety inspection of a scaffold. It contains 15 items to check, including ensuring scaffold components are in good condition, the scaffold is level and plumb, guard rails are installed, it is properly secured to the structure, ladders are safely installed, and an inspection tag is attached identifying if the scaffold is safe to use. The inspection is signed by the contractor safety officer, client safety officer, and project manager.

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sadashiv pune
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161 views1 page

Scaffold Inspection Checklist Template

The scaffold inspection checklist documents a safety inspection of a scaffold. It contains 15 items to check, including ensuring scaffold components are in good condition, the scaffold is level and plumb, guard rails are installed, it is properly secured to the structure, ladders are safely installed, and an inspection tag is attached identifying if the scaffold is safe to use. The inspection is signed by the contractor safety officer, client safety officer, and project manager.

Uploaded by

sadashiv pune
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Scaffold insoecation checklist

Company name: Sacffold location


Completed by: Date: Time:
Sr.no. Safety Checks YES NO
NO Coments

1 scaffold componets , planking in good condituion

planks graded scaffold?

2 All scaffold components in place & no defects ?

3 Competent person in charge of erection / in specation ?

4 screw jacks being used to level & scaffold when requried ?

5 Base plates & screw jacks in firm contact with mudsills & frame

6 scaffold is level plumb?

7 scaffolding brace properly attachead?

8 guard relling in place on all open site & ends?

9 scaffolding secured to structure to prevnt movement ?

10 brackets tube and clamp accessories?

11 proprly plesed with tightened?

12 area around scaffold has been secured /roped of?

13 proper access to lader secured in place?

14 scaffold contol tag has been sigened to apporled?

15 if insepction reveals scaffold is unsafe to

use has"DO NOT USE "tag?

Contracter safety / scaffolding incharge Claints safety officer Project manager sign.

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