Location Ref No.
Build By Height x Width x Length
Name of Scaffold Inspector Name of Supervisor
Date Of Inspection Date Of Erected
Location Description:
Scaffold Type Load Rating: Scaffold Dimension (meters) Scaffold Tag
Tube and Coupler Light Duty (25 PSF) Height: Green Tag
System Medium Duty (50 PSF) Base Width: Red Tag
Others (Specify) Special Duty (>50 PSF) Base Length:
FIELD INSPECTION CHECKLIST YES NO NA
Are all scaffold components in good condition and free of defect and detrimental corrosion?
Are timber sills, at least 500 mm long, 225 mm wide and 38 mm thick used for sand,
Foundation
asphalt or other soft surfaces
Are scaffold post (standards) mounted on steel base plates at least 150 mm x 150 mm (6
in x 6 in) by 6 mm (1/4 inch) thick?
If used, are screw jacks adjusted to not more than two thirds (2/3) of their threaded
length?
Are scaffold posts (standards) or frames (for fabricated tubular frame scaffolds) vertical,
plumbing, straight and not bent or deformed?
Post
Are posts (standards) located at least 1.5 meters away from the edge of the excavation?
For a system scaffold, are all joints in posts (standards) connected using a spigot?
Are runners (ledgers) and bearers (transoms) spaced vertically not more than 2 meters
(6’6”) a part (2 meter maximum lift height)
Are runners (ledgers) and bearers (transoms) installed in both directions at each lift along
Lift
every line of posts (standards)
Are bearers (transoms) and board bearers (intermediate transoms) installed on top of
(and not underneath) supporting runners (ledgers)
Is vertical diagonal bracing provided in both directions for the full height of the scaffold?
Are braces attached as close as possible to, not more than 300 mm (12 inches) from the
node point (bearer/runner and post intersection)?
Are joints in braces made with end-to-end (sleeve) couplers or adjustable (swivel)
couplers joining two overlapped parallel brace
Stability
If adjustable (swivel) couplers are used to join two overlapping braces, do brace ends
overlap by at least 300 mm (12 inches)?
For a tower scaffold (only 4 posts), is plan (horizontal) bracing installed at the base, at the
top and at every third lift to prevent racking?
If the scaffold height is more than 4 times its minimum base dimension, is lateral restraint
provided by ties, guys or equivalent means?
If ties or guys are used, are some installed at the closest horizontal member to the height
of 4 times the minimum base dimension?
If ties or guys are used, are they spaced vertically up the scaffold not more than 8 meters
(26 feet) / (4 lifts) apart?
If ties or guys are used, are some installed as close as feasible to the top of the scaffold?
If ties or guys are used, are some located at both the ends of the scaffold?
If this or guys are used, are they spaced horizontally along the scaffold length not more
than 9 meters (30 feet) apart?
If guys are used, are they installed on both sides of the scaffold and sloped at an angle of
about 45 degrees above the horizontal?