SCAFFOLD

Project: Date:
Location: Company:

Sl No Description Yes No Remarks

1 Scaffold materials in sound condition

2 Scheme diagram and approved design available
3 Scaffold erected in accordance with approved design /
Each scaffold is securely supported or suspended and
4
properly cross braced, wherever necessary
5 All uprights (standards) on firm surface
All uprights provided with adjustable screw heads and base
6
plates
7 Work platforms are at least 600mm wide
8 Platforms are free from slip hazards
9 Free standing scaffolds conform to 1:4 base to height ratio
Top rails and mid rails installed in all open sides of the
10
platform
11 Toe board installed to prevent fall of materials
12 Scaffold is plumb and level
13 Safe access to get on and off the scaffold (such as ladder)
14 Check no uprights ledgers braces or struts removed
All scaffolds & working platforms are securely tied to the
15
building or a rigid structure
16 Working platform fully boarded
17 Mobile scaffolds - On a firm and level surface
18 Mobile scaffolds - Wheels / casters locked
Mobile scaffolds - Height does not exceed four times the
19
base dimension
Mobile scaffolds - Display prohibiting movement of mobile
20
scaffold with persons on it
21 Scaffold meets electrical safety clearance distance
22 Adequate lighting is available to work on the scaffold
23 Inspected and tagged by competent person
Other Observations:

Scaffold is FIT for use: YES No

Inspected by: Signature:

SD01 v1706