INDIAN OIL CORPORATION LIMITED

(MATKETING DIVISION)
CHITTOOR LPG BOTTLING PLANT

Annexure IX

ACCESS SCAFFOLD CHECKLIST

Name of Project:

Inspected by:

Safety Precautions:

Name of the Sub Contractor:

Name of the Sub Contractor:

Location : Sub Location: Date & Time:

SL.
No Check Points Observations Remarks
1 Whether scaffold structure erected On a solid base?
2 Whether the scaffold structure has been erected away from
excavation pit/proper distance is maintained?
3 Whether there is a safe access (ladder/stair) to the scaffold
platform?
4 Whether scaffold unit is plumb and level, and resting
on stable
footing and a firm foundation?
5 Whether all uprights has been provided with base
plates(and, where necessary, sole plates) or
prevented in some other way from slipping
or sinking?
6 Whether all of the uprights, ledgers, braces and struts
in position?
7 Whether platform guardrails and toe boards are
firmly in place on all open sides/ends, where
required?

8 Whether the working platforms are fully boarded

andtheboardsare
arranged to avoid tipping or tripping?

9 Whether visual inspection is completed for the

presenceofloose,damaged, ormissing
components (such as locking pins, planking,
 access, framing, or bracing)?

10 Whether working platform is free of debris and

slipping/tripping
hazards?

11 Whether guying, tying, or bracing is installed to

maintain scaffold unit
stability where height-to-base size exceeds a 4:1
ratio?

Additional points for mobile scaffolds:

1 Whether wheels used for scaffold tower have looking
arrangement?
2 Whether the height of mobile scaffold is less than four times the
least base dimension
3 Whether mobile scaffold is used only on a firm and
level surface?

Found Fit Found Not FIT

Inspected By: Scaffold Inspector