Daily Scaffold Safety Audit Form
Date:
Project Name:
Location:
Inspected By:
Scaffold Components Check
Base plates and mudsills installed?
Yes
No
N/A
All scaffold planks secure and in good condition?
Yes
No
N/A
Proper cross, horizontal & diagonal bracing?
Yes
No
N/A
Guardrails, midrails & toeboards in place?
Yes
No
N/A
Access properly provided (ladder/stair)?
Yes
No
N/A
Ties and anchors secured?
Yes
No
N/A
Area around scaffold clear of debris/material?
Yes
No
N/A
Comments / Hazards Noted
Corrective Actions Taken
Inspector Signature: