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Scaffold Safety Checklist: Set Up Yes No

This document provides a checklist for safely setting up and using scaffolding. It lists 12 items to check for proper scaffold set up, including ensuring it is level, fully decked, has guardrails and toeboards, and meets electrical safety clearances. It also lists 8 items to check for safe scaffold use, such as inspecting it before use, providing fall protection over 10 feet high, wearing hardhats, securing materials before moving, and hoisting heavy items rather than carrying by hand. The checklist is to be signed by an authorized scaffold inspector and safety officer to verify compliance.

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458 views1 page

Scaffold Safety Checklist: Set Up Yes No

This document provides a checklist for safely setting up and using scaffolding. It lists 12 items to check for proper scaffold set up, including ensuring it is level, fully decked, has guardrails and toeboards, and meets electrical safety clearances. It also lists 8 items to check for safe scaffold use, such as inspecting it before use, providing fall protection over 10 feet high, wearing hardhats, securing materials before moving, and hoisting heavy items rather than carrying by hand. The checklist is to be signed by an authorized scaffold inspector and safety officer to verify compliance.

Uploaded by

Sn Carbonel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Doc. No.

Rev. No.: 0
Scaffold Safety Checklist Eff. Date:

Compliance
Set Up Yes No
1 Is the scaffold being erected under the direction of a competent person?

2 Are all employees involved with (or near) the scaffold wearing hard hats?

3 Are footings sound and rigid - not set on soft ground, or resting on blocks?
4 Is the scaffold level?

5 Are wheels / castors locked?


6 Is the scaffold able to hold four times its maximum intended load?

7 Is the platform complete front to back and side to side (fully planked
or decked, with no gaps greater than 1 inch)?

8 Are guardrails and toeboards in place on all open sides?


9 Are all sections pinned or appropriately secured?

10 Is there a safe way to get on and off the scaffold, such as a ladder (without
climbing on crossbraces)?

11 Is the front face within 14 inches of the work (or within 3 feet for outrigger scaffolds)?

12 Does the scaffold meet electrical safety clearance distances?

Use
1 Is the scaffold inspected by a competent person before being put in use?
2 If the scaffold is over 10 feet high, is personal fall protection provided, or are
guradrails over 38 inches high?
3 Are hardhats worn by workers on and around the scaffold?
4 Are scaffold loads (including tools and other equipment) kept to a minimum
and removed when the scaffold is not in use (like at the end of the day)?

5 Are employees removed from scaffolds during high winds, rain, or bad weather?

6 Are materials secured before moving a scaffold?

7 Are employees removed from the scaffold before they are moved?

8 Are heavy tools, equipment, and supplies hoisted up (rather than carried up by hand)?

Source: OSHU EHS Safety Training

Remarks

Authorized Scaffold Inspector Safety Officer

_____________________________________ ________________________
Print Name & Signature Print Name & Signature

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