SCAFFOLD INSPECTION REPORT
PTTEP.
                     BONGKOT FIELD.                                              REF.NO.
                     GULF OF THAILAND.
LOCATION :                                                                           CONTRACTOR :
WORK PERMIT NO.                                 WORK COMMENCE DATE :                 FOREMAN :
STRUCTURE TYPE :
    LIGHT DUTY                GENERAL DUTY                     HEAVY DUTY            SPECIAL DUTY
   ( 0.75 kN/M 2 )            ( 2.00 kN/M 2 )                  ( 2.50 kN/M 2 )
   OTHER (SPECIFY) :
DESCRIPTION :
   INDEPENDENT                BIRD CAGE                        MOBILE                TOWER
   DROP (HANGER)              CANTILEVER                       TRUSS-OUT SPUR
   OTHER (SPECIFY) :
   DATE                                         RESULT & COMMENT                      INSPECTOR NAME
 NOTE :                                                        LADDER NO. RUNGS :
                                                               NO. OF STANDARDS :
                                                               NO. OF LIFTS :
                                                               M 2 BOARDING :
 DATE MODIFIED :                                                 DATE DISMANTLED :
 NEXT REFERENCE NUMBER :
 CONTINUE FROM REF. NUMBER :
SCAFFOLDING CHECKLIST
                       SCAFFTAG               COR. INC.   N/A             BOARDINGS(1 1/2" THICK)                 COR. INC.   N/A
1. In place.                                                    1. Boards overhang between 2"- 6".
2. Near access.                                                 2. Sufficient support (4 ft. MAX.).
3. Green insert filled in.                                      3. If notched, fit extra transoms.
4. Yellow insert up-to-date.                                    4. Boards tied down both ends.
                       MATERIAL               COR. INC.   N/A   5. No board missing ( fully boarded ).
1. Within the standard.                                         6. No defective or damaged boards.
2. Good condition.                                                    GUARD RAILS AND TOE BOARDS.                 COR. INC.   N/A
3. Correctly used.                                              1. Correct height.
                       FOOTINGS               COR. INC.   N/A   2. Secured.
1. Firm and level.                                              3. Correctly hand railed and toeboarded.
2. Sole boards fitted.                                          4. None missing.
3. Base plates fitted.                                          5. Fixed inside standards.
4. Clear of excavation /hatch.                                                         BRACINGS.                  COR. INC.   N/A
5. Foot ties fitted.                                            1. None missing.
6. Wheels /Brakes locked on.                                    2. Secured.
7. Base dimensions not less than required.                      3. Correct fittings.
                    STANDARDS                 COR. INC.   N/A   4. Not more than 1 ft. from node points.
1. Must be plumb.                                               5. Correct angle.
2. Joints staggered.                                            6. Braces fitted opposed to each other.
3. Joints to be sleeved.                                                               LADDERS                    COR. INC.   N/A
4. Correct spacing.                                             1. On a firm base.
5. Hard down on the baseplates.                                 2. Sufficient length (3' 6" Above platform).
                       LEDGERS                COR. INC.   N/A   3. If too short, hand-hold required.
1. Level .                                                      4. At 75 degrees (1 out for every 4 up).
2. Joints staggered.                                                                   HANGERS                    COR. INC.   N/A
3. Correct spacing.                                             1. Not suspended from pipe or cable tray.
4. Correct lift height ( 6' 6" ).                               2. Not more than 1 ft. from supporting point.
5. Fixed to standard with correct fittings.                     3. Must be plumb.
                       FITTINGS               COR. INC.   N/A   4. Check fittings are fitted.
1. Correct types.                                               5. Joints must be sleeved & spliced.
2. Lubricated.                                                  6. Correct distance.
3. Beam clamps must be used in pairs.                                                TRANSOMS                     COR. INC.   N/A
                         TIES                 COR. INC.   N/A   1. Correct spaced.
1. None missing.                                                2. Correct fittings are used.
2. Every other lift ( 13 ft. ).                                 3. Not more than 1 ft. from stadards.
3. Every other stadard ( 18 ft. ).                              4. Doubled transoms, if required.
4. Secured.                                                                   MOBILE SCAFFOLDS                    COR. INC.   N/A
                                                                1. Not higher than 3 times the shortest base.
FURTHER COMMENT :                                                             TOWER SCAFFOLDS                     COR. INC.   N/A
                                                                1. Not higher than 3.5 times the shortest base.