Masonry Scaffold Access Evaluation Form

Project Details

Scaffold Identification

Type of Scaffold Location/Area Height (m) Width (m) Length (m)

Scaffold Access/Components Check

Inspection Item	Yes	No	Comments
Base plates and sole boards in place
Uprights plumb and secure
Cross braces in place
Guardrails installed
Proper access (ladder/stair)
Planking complete and secure
Toeboards in place
Scaffold tagged (green, yellow, red)
Overhead protection in place
Free from debris and materials

Additional Observations

Corrective Actions Required

Inspector Signature

Name Date