SCAFFOLD CHECKLIST

Event Name:
Company Name:
Name of Scaffold Inspector:

All scaffolds are to be inspected and signed off by the appointed scaffold inspector before
use and weekly thereafter, or after inclement weather, displacement or modification.

DATE OF INSPECTION
ITEM TO BE INSPECTED

1. Foundations
1.1 Ground Level
1.2 Base jacks or wheels
1.3 Wheel locks
2. Bracing
2.1 Bracing
2.2 Tie bars
3. Frames
3.1 Frames straight (not twisted)
3.2 Joint welds in good condition
3.3 No excessive rust
4. Guard Rails
4.1 Guard rails all around platform
4.2 Properly fixed to frame
5. Ladder
5.1 Hook on ladder secured
5.2 Good condition
5.3 900mm above platform
6. Platform
6.1 Full width platform
6.2 Steel hook on boards used
6.3 Toe boards used
6.3 Boards in good condition
7. Signage
7.1 “Safe to Use” or “Unsafe to Use” signs and
warning signs
Scaffold Inspector Signature
Construction Supervisor Signature