OH & S MANAGEMENT SYSTEM HCC F 01 15 XX SCAFFOLDING CHECKLIST

PROJECT: Supervisor: Date: Observation Yes/ No

Rev. No. 1 Page No. Date of Rev

Sl. No.

Description

Remarks & Recommendations

Checked by

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Are scaffold platforms designed/ constructed with a safety factor of minimum four if designed at site

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Is there a safe means of access to the working platform

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Are all scafolding platforms at least 450mm wide?

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Are scaffold structures having a solidbase avoiding pavements & manhole covers etc.

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Is the scaffolding structure free from excavation pit/ proper distance is maintained Is vertically of the structure properly maintained Is there a provision of toeboards/ guardrails and are they secured If wooden plank, used for working is maintained as per standard or no, viz a. For 1.5 M span - 1.5" thick b. For 2.6 M span - 2.0" thick

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Is overhanging of the working platform restricted to less than 50 mm/ four times the thickness of the board. Are supported scafolds with a height to base ratio of more than 4 to 1 restrained from tipping by guying, tying, bracing or equivqlents? Are all the materials stored on the platforms properly secured or not? Whether planks are tied using proper binding wires or ropes.

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No. Date of Rev Sl. Is there a provision of anchoring safety belts lanyards to be tied to guy ropes Inspected and signed by Formwork Engineer Remarks & Recommendations Checked by 14 15 16 17 18 19 20 Safety Officer Section Incharge .6 m freestanding without support Are all the suspension gears correctly spaced and connected Is there a system of using manila rope/ coir rope for suspension at any place where such rope would be liable to damage by heat/ flames/ sharpedges etc. 13 Description Are openings in working platform kept safely covered/ fenced Do wheels used for scaffold tower of appropriate Safe Working Load with locking arrangements Are mobile scaffolds used on a firm and level surface Is the safety rule: not to ride on a scaffold while in motion violated Is there an access tower exceeding 9.OH & S MANAGEMENT SYSTEM HCC F 01 15 XX SCAFFOLDING CHECKLIST PROJECT: Supervisor: Date: Observation Yes/ No Rev. No. 1 Page No.

e. ladders) etc. no gaps between the boards? Is the working platform at least 450 mm wide? Is a guard-rail.06 Page 3 of 3 . PROJECT: A 1 2 CHECK THE BASE OF THE STRUCTURE Are base plate provided? Is the ground level firm. manholes etc? CHECK THE STRUCTURE Are the vertical tubes in plumb and correctly spaced? Are the standards joints staggered? Are adquate bracing provided? Is the structure securely tied back? Is there an access tower exceeding 9. Rev.OH & S MANAGEMENT SYSTEM SCAFFOLDING CHECKLIST Sl.6 m free standing without support? CHECK THE WORKING PLATFORM Is the working platform closely boarded. I. left clear? Description Observation Yes/ No Remarks 3 B 1 2 3 4 5 C 1 2 3 4 5 6 D 1 Inspected and signed by Safety Officer Date: Section Incharge Location: Format No. walkways.: HCC F 01 15 41 Rev. 02. or have proper supports have been placed under the structure? Is the base away from all excavations.04. date: 19. No. knee-rail and toe board provided above the platform and securely fixed? Are all the materials stored on the platforms properly secured or not? Are openings in working platform kept safely covered/ fenced? Is there a provision of anchoring safety belts lanyards to be tied to guy ropes? CHECK THE ACCESS Are existing access ways (stairs. drain covers.

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