Scaffolding Inspection Checklist Template

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Scaffolding Inspection Checklist Template

GENERAL CHECKLIST

Has the area around the scaffold been secured and safety signs placed?

Yes No N/A

Are all the sufficient scaffold elements in place and without any defects?

Yes No N/A

Are all scaffold legs supported and braces correctly attached to the scaffold?

Yes No N/A

Is a qualified, responsible person in charge of the erection/inspection?

Yes No N/A

Is the scaffold adjusted to the structure to prevent movement?

Yes No N/A

Are the base plates in firm contact with mudsills and the frame of the scaffold?

Yes No N/A

Is a toe board accurately placed when necessary?

Yes No N/A

Are all scaffold components and planking in an adequate condition?

Yes No N/A

Are brackets, tubes, planks & accessories correctly installed with wedges tightened?

Yes No N/A

Is the whole scaffold even and plumb?

Yes No N/A

Are mud sills correctly placed and appropriately sized where ever needed?

Yes No N/A

Were screw jacks used to even and plumb the scaffold whenever demanded?

Yes No N/A

Has there been a check to verify clamps are secured in place?

Yes No N/A

Are all planks properly graded?

Yes No N/A

Is there appropriate access to get on and off the scaffold?

Yes No N/A

Is the ladder secured and in place?

Yes No N/A

Has "Don't Use" tag been set at all access points where inspection failed?

Yes No N/A

Has the scaffold control tag been signed and certified for this particular use?

Yes No N/A

Are all necessary guard rails available on all open sides and ends?

Yes No N/A

Do all planks have a minimum of 12" overlap and extend 6" exceeding supports?

Yes No N/A

COMPLETION

Further recommendations:

Name and signature of the inspector:

Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.