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Form # HSE-SFC Scaffold Formwork CheckList

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Zizo Elabidy
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27 views1 page

Form # HSE-SFC Scaffold Formwork CheckList

Uploaded by

Zizo Elabidy
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

SCAFFOLD/FORMWORK CHECKLIST

Project.: H S/T/10 General Maintenance of Abdali and Jahra Road


Location Date
Type Purpose

Sl. Description Yes No N/A Comments


No
All scaffold/ Formwork erected, inspected, altered and
1.
dismantled by competent team.
2. Clear and visible signage and Scaff-tag

3. Access ladder provided and properly

Sound scaffolding / Formwork material free of damage,


4.
tied and no gaps between planks/timbers.
5. All platforms planks tied down properly

6. Proper overlap platforms over suitable support

Proper fall protection provided (guard rail/hand rail, mid


7.
rail, toe board, mesh/bricks guard and safety net).
Scaffolding / Formwork properly secured ties, and all
8.
braces installed properly.
9. Sole and base plate or timber provided.

10. Overhead protection provided.

Mobile scaffold provides with guard rails, toe board, full


11.
and proper platform, access ladder and wheels lock.

12. PPE along with full body harness is to be worn.

13. Others Specify


Remarks:

Inspected By Competent Supervisor Signature:


Reviewed By HSE Manager / Engineer : Signature:

Form # HSE-SFC Page 1 of 1 Rev – 0, Oct 19

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