Scaffold Inspection Checklist
Scaffold Erection Inspection Checklist
Scaffold Erection Inspection Checklist
Location
Scaffold Type
Contractor
Supervisor
Date of Inspection
Competent Person
Have scaffold components been inspected and are free of defects?
Yes
No
N/A
Are scaffold components compatible and not intermixed?
Yes
No
N/A
Have scaffold planking been inspected and are graded for scaffold use?
Yes
No
N/A
Is scaffold planking free from defects (i.e. cracks)?
Yes
No
N/A
Is scaffold level and plumb?
Yes
No
N/A
Are base plates and/or screw jacks in firm contact with sills and frame?
Yes
No
N/A
Has all scaffold legs and uprights been properly braced? (i.e. cross bracing)
Yes
No
N/A
Are all connections secured?
Yes
No
N/A
Has scaffold been erected to support not less than 4 times the maximum intended load?
Yes
No
N/A
Has the scaffold been erected under the supervision of a competent person qualified in scaffold erection?
Yes
No
N/A
Has proper access been provided?
Yes
No
N/A
Are guardrails in place on all exposed sides and ends above 6'?
Yes
No
N/A
Is personal fall arrest equipment provided in areas not protected by guardrail systems (i.e. open gates, window openings)?
Yes
No
N/A
Have toe boards been installed properly?
Yes
No
N/A
Have the following hazardous conditions been assessed?
Yes
No
N/A
Power lines
Yes
No
N/A
Wind Loading
Yes
No
N/A
Uplift
Yes
No
N/A
Are working level platforms fully planked between guardrails?
Yes
No
N/A
Does planking have a 6" to 12" overlap beyond its support bearers?
Yes
No
N/A
Are scaffold platforms at least 18" wide?
Yes
No
N/A
Is planking secured at the end bearers?
Yes
No
N/A
If a free standing scaffold, the scaffold height shall not exceed 4 times the minimum base dimension
Yes
No
N/A
If used next to an adjacent structure, has the scaffold been tied to the structure at least every 30' in length and 26' in height?
Yes
No
N/A
Have all personnel been instructed in the safe use of the equipment?
Yes
No
N/A
Have all personnel been trained by a qualified person in scaffold safety?
Yes
No
N/A
Any Actions Taken
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Peabody, Inc.
(810) 629-1504
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