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Scaffolding Safety Checklist

The document is a scaffolding safety checklist used by Selinsing Gold Mine Manager Sdn. Bhd. to inspect scaffolding. It contains 26 questions to check that scaffolding is erected properly under a competent person, has a sound footing, is fully decked with guardrails and toeboards, secured properly, and meets other safety requirements like fall protection and weather preparations. The checklist aims to ensure scaffolding is constructed safely according to regulations before employees begin work.

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Rizal Daud
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136 views

Scaffolding Safety Checklist

The document is a scaffolding safety checklist used by Selinsing Gold Mine Manager Sdn. Bhd. to inspect scaffolding. It contains 26 questions to check that scaffolding is erected properly under a competent person, has a sound footing, is fully decked with guardrails and toeboards, secured properly, and meets other safety requirements like fall protection and weather preparations. The checklist aims to ensure scaffolding is constructed safely according to regulations before employees begin work.

Uploaded by

Rizal Daud
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SELINSING GOLD MINE MANAGER SDN. BHD.

Scaffolding Safety Checklist

Yes No N/A Action(if no)

# GENERAL REQUIREMENTS
Is the scaffold being erected under the
1      
direction of a competent person?
Is the footing sound and rigid - not set on
2 soft ground, frozen ground (that could      
melt), or resting on blocks?
Has the erection site been evaluated for
hazards such as earth fills, ditches, debris,
3 underground electric wires, unguarded      
openings, or conditions created by other
trades?
4 Are wheels / castors locked?      
Is the scaffold able to hold four times its
5      
maximum intended load?
Are guardrails and toeboards in place on all
6      
open sides?
Is the platform complete front to back and
7 side to side (fully planked or decked, with      
no gaps greater than 1 inch)?
Is the lumber free of cracks, splits, knots, or
8      
damage?
9 Is the scaffold level?      
Have all compounds been inspected for
defects such as broken welds, corroded
10      
members, and missing locks, bent or dented
tubes?
Are all braces, bearer, and clamps secured
11      
all sections pinned or appropriately secured?
Is there a safe way to get on and off the
12 scaffold, such as a ladder (without climbing      
on crossbraces)?
Is the front of the scaffold within 14 inches
13      
of the work?
Does the scaffold meet electrical safety
14      
clearance distances?
15 Is the scaffold under 125 feet in height?      
16 Is the "X" bracing installed on the ends of      
the scaffold and every third set of post
horizontally and every fourth vertical
SELINSING GOLD MINE MANAGER SDN. BHD.

runner?
Are severe weather provisions in place i.e.
17 during high winds, rain, snow, or bad      
weather?
Have all planks been properly secured to the
18 scaffold structure to prevent them blowing      
off in the event of high winds?
Where persons work under scaffold, is a 1/2
inch mesh screen provided between
19      
toeboard and guard rail or has the area
below the scaffold been cordoned off?
Are tag lines available for items to be loaded
20      
on to scaffold?
When employees are working on suspended
21 scaffolds, are lifelines firmly anchored to an      
overhead structure and not to the scaffold?
Is the scaffold over 6 feet (2M) high, (if yes)
22 is personal fall protection available, or are      
guardrails in place?
23 Are guardrails 38 inches high?      
Are toeboards in place and at least 4 inches
24      
high?
25 Are midrails or equivalent in place?      
Does the scaffold have a height to base ratio
26      
of at least 4:1?

Job Competent Person: ____________________________________

Inspected By: ____________________________________________

Signature: ______________________ Date:____________________

Verified by (SHO Name): ______________ Signature: _______________

Date:______________

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