| Project Name | |
|---|---|
| Location | |
| Date | |
| Inspector Name |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Scaffold erected by competent persons | ||||
| Base plates and mudsills in place & secure | ||||
| Scaffold is plumb, level and square | ||||
| All braces, pins and clips secured | ||||
| Guardrails, toeboards and midrails installed where required | ||||
| Proper access to scaffold platforms (ladders/stairways) | ||||
| Platforms fully planked with no gaps | ||||
| Scaffold clear of debris and materials | ||||
| Structure tied/secured as per requirements | ||||
| Scaffold not overloaded - within load limits |
| Item | Yes | No | N/A | Comments |
|---|---|---|---|---|
| Personal fall protection in use (if required) | ||||
| Guardrails maintained throughout work | ||||
| Open sides properly protected |
| Details |
|---|