OCCUPATIONAL H & S MANAGEMENT SYSTEM O.H.

S Section
REV 6.3 12/04/16
WEEKLY SCAFFOLDING - CHECK LIST / REGISTER PAGE 1 of 1
Record Keeping Project HSE File, Archive

Refer to SANS 10085.1-12.2 All scaffolding shall be carefully inspected by a person competent in scaffolding supervision, Erection and maintenance at least once a week.
INSPECTOR NAME MONTH & YEAR
SCAFFOLD NUMBER :
POINTS TO CHECK WEEK 1 WEEK 2 WEEK 3 WEEK 4 WEEK 5
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
Firm footing (foundation).
Sole plates under framework
Base plates under framework.
Framework supported and secured.
Framework effectively braced.
Ledgers secured.
Scaffold level and plumb.
Horizontally and vertically secured.
Free from makeshift devices.
Material corrosion free
Provision for public safety.
Catch nets provided where necessary
All nuts and bolts tightened.
Planking in good condition
Planking securely fastened
Toe-boards fitted
Guard/hand rails fitted
Safe and convenient access.
Free from superfluous material
Trained ,compete and appointment person in
writing in charge of supervision ,erection ,
inspection?
Inspections to take place weekly as per SANS
requirement and after inclement weather.
Scaffold control tag has been signed and approved
for use ?
If inspection reveals scaffold is unsafe to use, has
“Do Not Use” tag been placed at all access points?
ACTION DATE TO RECTIFY DEVIATIONS
RESPONSIBLE PERSON TO ACTION
DEVIATIONS
SIGNATURE OF RESPONSIBLE PERSON
SIGNATURE OF THE APPOINTED
INSPECTOR
DATE CLOSED OUT

Instruction: Please complete and tick (√) the appropriate box for each check and for each week. Indicate when the deviations should be fixed and by whom as well as when the deviations were completed.
Y = Yes / Safe / No deviation. N = No / Not Safe / Deviation / Needs repair. Or N/A