Scaffolding Inspection Checklist
Site address Name of person administering this checklist
Are all the sufficient scaffold components in place and without any defects? No Yes
Are the base plates in firm contact with mud sills and the frame of the scaffold? No Yes
Are all scaffold legs braced and braces properly attached to the scaffold? No Yes
Is the scaffold secured to the structure to prevent movement? No Yes
Are brackets, tubes, planks & accessories properly placed with wedges tightened? No Yes
Is a toe board properly installed when necessary? No Yes
Are all scaffold components and planking in an acceptable condition? No Yes
Are all planks correctly graded? No Yes
Is a qualified, competent person in charge of the erection/inspection? No Yes
Is the whole scaffold level and plumb? No Yes
Are mud sills properly placed and adequately sized where ever required? No Yes
Were screw jacks used to level and plumb the scaffold whenever required? No Yes
Has the area around the scaffold been secured and safety signs installed? No Yes
Are all necessary guard rails in place on all open sides and ends? No Yes
Has there been a visual check to verify clamps are secured in place? No Yes
Is there proper access to get on and off the scaffold? No Yes
Has "Don't Use" tag been placed at all access points where inspection failed? No Yes
Has the scaffold control tag been signed and approved for this particular use? No Yes
Do all planks have a minimum of 12" overlap and extend 6" beyond supports? No Yes
Is the ladder secured and in place? No Yes
Notes
Signed Date