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23/10/2021, 16:51 Scaffolding Safety Checklist - SafetyCulture

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General Information

Type of scaffolding

Trestle Steel Patented Suspended Cantilever


Single Double Kwikstage

Description of work

Enter text

Take a photo of it 

Base

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Is the scaffold on a solid base?

Yes No N/A

REFERENCE: Good example of scaffold on a solid base


[This is an example of how you can use iAuditor to include best practice reference images
in your templates to assist with inspections]

Does each stand have a base plate?

Yes No N/A

Are sole plates of the correct dimension being used?

Yes No N/A

Height

Are free-standing tower scaffold steadied with guy wire according to regulations
requirements for its height?

Yes No N/A

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Are safety cage needed around vertical ladder based on height according to regulatory
requirements?

Yes No N/A

Are perimeter placed on work surfaces (toe board permanent and temporary height)
according to regulatory requirements?

Yes No N/A

Are perimeter handrail height with a mid-rail around all work platforms according to
regulatory requirements?

Yes No N/A

Are rolling scaffold wheel brakes locked and outriggers extended to maintain maximum
height of 3 times the smallest base dimension?

Yes No N/A

Are toprail based on height according to regulatory requirements?

Yes No N/A

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Are midrails installed approximately halfway between the toprail and the platform surface

Yes No N/A

Geometry

Are the standards vertical?

Yes No N/A

Are the ledgers and transoms horizontal?

Yes No N/A

Are the joints in the standards staggered?

Yes No N/A

Are the joints in the ledgers staggered?

Yes No N/A

Are the transoms correctly spaced?

Yes No N/A

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Platforms

Are the supports correctly and evenly distributed?

Yes No N/A

Are the overhang has the minimum standard size?

Yes No N/A

Does the board doesn't have creaky sound?

Yes No N/A

Are lapped boards safe?

Yes No N/A

Are boards secure?

Yes No N/A

Bracing

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Is the ledger bracing fitted on alternate pairs of standards for the full height of the
scaffold?

Yes No N/A

Is the façade bracing fixed to every lift?

Yes No N/A

Is the façade bracing fixed to the face of the scaffold at standard intervals?

Yes No N/A

Is the façade bracing set at standard angle

Yes No N/A

Tubes and Fittings

Are the tubes and fittings used in good condition?

Yes No N/A

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Have the correct couplers been used?

Yes No N/A

Are all fittings tightened sufficiently?

Yes No N/A

Are check couplers fitted as required?

Yes No N/A

Access

Is access provided to the full height of the scaffold?

Yes No N/A

Is the ladders positioned at standard angle?

Yes No N/A

Is the head tied and the feet on a firm base?

Yes No N/A

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Do ladders rise in standard height above platforms?

Yes No N/A

Loading

Is the scaffold correct for its intended use?

Yes No N/A

Are loads on the scaffold evenly distributed?

Yes No N/A

Are stacked materials secure?

Yes No N/A

Ties

Are sufficient ties used in accordance with safety regulation?

Yes No N/A

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Are ties fixed with a double coupler?

Yes No N/A

Are ties fixed on both inner and outer ledgers or standards?

Yes No N/A

Guard Rails and Toe Boards

Are the rails fixed at least 950mm above the platform?

Yes No N/A

Is the rail fixed a maximum of 470mm above the toe board?

Yes No N/A

Are toe boards fitted to all platforms and at least 150mm and secure?

Yes No N/A

Scaffolds Tag

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Is the scaffolding tag displayed at the access point?

Yes No N/A

Has the front of the scaffolding tag been completed correctly?

Yes No N/A

Have the inspections been written in and signed by the authorized person?

Yes No N/A

Are the inspection frequencies in accordance with the standard regulations?

Yes No N/A

Recommendation

Overall Ranking

Pass Fail

Recommended scaffolding tag

Green Yellow Red

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Recommendations or other requirements

Enter text

Completion

Inspector's Name and Signature 

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things,
workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to
determine if the use of such checklist is permissible in your workplace or jurisdiction.

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