The document is a scaffolding safety inspection checklist that contains 10 items to check regarding the condition of scaffolding, including whether it has proper access, secure railings and planks, appropriate spacing and overhang, secured support legs, and ties to the building. The inspector is to indicate for each item whether the scaffolding's condition is safe or unsafe and provide any remarks. They then sign and date the form, including their company and the project/job site.
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Scaffold Inspec Checklist
The document is a scaffolding safety inspection checklist that contains 10 items to check regarding the condition of scaffolding, including whether it has proper access, secure railings and planks, appropriate spacing and overhang, secured support legs, and ties to the building. The inspector is to indicate for each item whether the scaffolding's condition is safe or unsafe and provide any remarks. They then sign and date the form, including their company and the project/job site.
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Scaffolding Safety Inspection
Please check the following conditions and indicate whether the scaffolding was in a safe or unsafe condition.
No. Details Yes No Remarks
1 Ladder provided for access, secured and 3 ft. above platform? Planking is 2X10 scaffold grade free of cracks, defects and excessive 2 debris? 3 Top rail, mid rail and end rails secure and provided over 7 ½ ft.? Full solid planking (3 boards ) provided above 7 ½ ft. with opening 4 under back railing not exceeding 10” maximum? 5 Space between building and platform not exceeding 16”?
6 Single plank permitted only on platforms up to 4 ft. high?
7 Platform slopes do not exceed 2 ft. vertically to 10 ft. horizontally?
Planking overhangs ledger or support 6” minimum and 18” 8 maximum? All support leg base plates resting on dirt are secured to a 9 2”X10”X10” wooden base or 1 1/8”X10”X10” exterior grade plywood? Scaffold ties to building with double looped #12 or single looped #10 10 Iron wire not to exceed 30 ft. horizontally and 26 ft. intervals vertically?