Project Name: Location: Inspector Name: Date:

Scaffold Details Type/Description: Height (m): Length (m): Number of Levels:

Inspection Checklist

Item	Status	Comments
Base plates and mudsills installed	Yes No N/A
Frames/plumb, undamaged	Yes No N/A
Bracing present & secure	Yes No N/A
Guardrails in place	Yes No N/A
Planking/decks secured	Yes No N/A
Access provided (ladder/stairs)	Yes No N/A
Ties to structure installed	Yes No N/A
Free of loose tools/materials	Yes No N/A
Other (specify):	Yes No N/A

Overall Comments/Observations

Inspector Signature: Date: