KOC.SA.
002 - Safe Control and Use of Scaffolding, Portable Ladders and Stepladders
Page 21 of 25
APPENDIX 4
SCAFFOLD INSPECTION CHECKLIST
SCAFFOLD REFERENCE NO.: ERECTED BY (NAME OF CONTRACTOR):
Contract Title & Number: Controlling team:
TYPE OF SCAFFOLD (DUTY/ALLOWABLE LOAD, KG/BAY)
Date & location of scaffold erected (UNIT / EQUIPMENT NO.): ( ) LIGHT ( ) MEDIUM ( ) HEAVY ( )
RE -
* FINDINGS
SN INSPECTION ITEMS INSPECTION
1 2 3 1 2 3
1.0 GENERAL REQUIREMENTS
1.1 Scaffold designed by a qualified person?
1.2 Conform to the 4 to 1 base to height ratio requirement?
If not conforming, secured to a fixed structure by use of ties?
1.3 Scaffold components of the same make / fit together without force?
1.4 Scaffold components marked with the Contractor's emblem and name?
1.5 Scaffold materials in good condition, no visible defects?
2.0 FOUNDATIONS, BASE PLATES, SOLE PLATES AND CASTERS
2.1 Adequate and firm footing / anchorage?
2.3 Stable base plate and with screw jack
2.4 Proper sole plates on loose ground. Extended under two uprights?
2.5 For mobile scaffold - are casters with lock and pinned into the frames or adjustment screws?
3.0 STANDARDS (VERTICAL TUBES/UPRIGHTS/COLUMNS/POSTS)
3.1 Plumb and braced?
3.2 Joints not in the same lift. Arranged near ledgers as possible?
3.3 Sound materials. No visible bents or defects?
Control Tier 3 Revision Date: 16th September 2020
KOC General Use Information: Uncontrolled copy if printed
KOC.SA.002 - Safe Control and Use of Scaffolding, Portable Ladders and Stepladders
Page 22 of 25
RE -
* FINDINGS
SN INSPECTION ITEMS INSPECTION
1 2 3 1 2 3
4.0 LEDGERS (RUNNERS) AND BEARERS
4.1 Securely fixed to standards with proper couplers?
4.2 Horizontally levelled?
4.3 Staggered joints and not occurring in the same bay?
4.4 Sound materials. No visible bents or defects?
4.5 Are runners interlocked and coupled to each post (standards)?
4.6 Are the bearers attached to both posts and does the inboard coupler rest on the runner coupler?
4.7 Do the ends of the bearer tube have full contact with the clamp?
5.0 BRACINGS
Is transverse (or cross) bracing installed on the ends of the scaffold and every third set of posts (verticals)
5.1
horizontally and every fourth runner vertical?
5.2 Is longitudinal bracing installed at a 35 to 55 degree angle on both faces of the scaffold?
5.3 Does the longitudinal bracing extend from the first (left hand) post to the extreme top of the scaffold?
5.4 If the scaffold is longer than five posts (verticals), is a new line of bracing begun at every fifth post?
5.5 Is bracing installed as close as possible to the node point?
5.6 Are all brace connections secured?
6.0 TIES
6.1 Has the tie been installed at a horizontal member that supports the inner and outer legs?
6.2 Has the vertical tie been installed at a height less than 4 times the minimum base dimension?
6.3 Have vertical & horizontal ties been repeated every 850 cm. (28 feet) or less for scaffolds?
7.0 COUPLERS AND FITTINGS
7.1 Proper and right couplers/fittings used?
7.2 Couplers / fittings in good condition?
8.0 DECKINGS (BOARDS / PLANKS)
8.1 Platforms fully planked with less than 2.54 cm. (1") between planks?
8.2 All working platforms at least 60 cm. (3 planks) wide?
8.3 Platform's open sides less than 35.6 cm (14") from the face of the work?
8.4 Platforms extending their end supports (overhang) no more than 25 cm (10")?
Control Tier 3 Revision Date: 16th September 2020
KOC General Use Information: Uncontrolled copy if printed
KOC.SA.002 - Safe Control and Use of Scaffolding, Portable Ladders and Stepladders
Page 23 of 25
RE -
* FINDINGS
SN INSPECTION ITEMS INSPECTION
1 2 3 1 2 3
8.0 DECKINGS (BOARDS / PLANKS)
8.5 Where planks are overlapped are they lapped over the supports?
8.6 Are planks that rest on the bearer at other than a 90 degrees angle laid first?
8.7 Are tools, materials, and debris removed from scaffold to prevent an accumulation?
9.0 ACCESS
9.1 Safe access been provided for all scaffold platforms?
9.2 Rest platform provided every 9 meters (30 feet) of scaffold height?
9.3 Ladders are clamped and positioned so as not to tip the scaffold?
9.4 Ladders are of industrial type, in good condition, no bents / defects?
9.5 Do rungs and steps of ladders line up vertically between the rest decks?
9.6 Is the rung spacing uniform and no more than 43 cm (16 3/4")?
10.0 GUARDRAILS
10.1 Are guardrails (top and mid rails) installed on all open sides?
10.2 Are top guardrails installed between 91 cm. to 115 cm.?
10.3 Guardrails are fitted to the inside of standards (uprights)?
10.4 Guardrails firmly clamped and secured?
11.0 TOEBOARDS
11.1 Have toe boards been installed to prevent falling objects?
11.2 Are toe boards at least 15 cm. (6 inches)?
11.3 Toe boards are secured properly by a clamp / clip?
11.4 Toe boards are fitted to the inside of standards?
* Findings:
1 - Either 'Meeting Requirement', 'Satisfactory' or 'Yes'
2 - Either 'Not Meeting Requirement', 'Unsatisfactory' or 'No'
3 - Not Applicable
Control Tier 3 Revision Date: 16th September 2020
KOC General Use Information: Uncontrolled copy if printed
KOC.SA.002 - Safe Control and Use of Scaffolding, Portable Ladders and Stepladders
Page 24 of 25
GENERAL COMMENTS:
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NAME, EMPLOYEE NO. AND SIGNATURE BY :
DATE & TIME
CERTIFIED SAFE FOR USE BY
CHECKED BY SCAFFOLD INSPECTOR
SCAFFOLDING SUPERVISOR
IMPORTANT: CONTRACTOR AND KOC SHALL CARRY-OUT NEW SCAFFOLD INSPECTIONS EVERY AFTER SEVEN DAYS AND SHALL COMPLETE ANOTHER INSPECTION CHECKLIST FOR
THE APPROVAL ON THE CONTINUOUS USE OF THE SCAFFOLD.
Control Tier 3 Revision Date: 16th September 2020
KOC General Use Information: Uncontrolled copy if printed
