Scaffold Inspection Checklist

Project Details

• Project Name: [Enter project name]
• Site Address: [Enter site address]
• Date of Inspection: [DD/MM/YYYY]
• Time of Inspection: [Enter time]
• Scaffold ID / Tag Number: [Enter ID number]
• Scaffold Type: [e.g. Tube and Coupler, Mobile, Prefabricated]
• Scaffold Height: [Enter height in meters]
• Maximum Intended Load: [e.g. Light Duty, Medium Duty, Heavy Duty]
• Erected By: [Name of person or company]

Inspector Details

• Inspector Name: [Enter full name]
• Inspector Qualification: [e.g. Advanced Scaffolding High Risk Work License]
• License Number: [Enter license number]
• Signature: ___________________

Section 1: Foundations and Ground Condition

1. Are the foundations level and firm? [ ] Yes [ ] No
2. Are sole boards or base plates properly positioned and sized? [ ] Yes [ ] No
3. Are adjustable bases fully extended to the minimum insertion mark? [ ] Yes [ ] No
4. Is there adequate drainage to prevent washout? [ ] Yes [ ] No
5. Are ground surfaces free of excavations or debris near the base? [ ] Yes [ ] No

Section 2: Structure and Standards

1. Are all standards (vertical members) plumb and vertical? [ ] Yes [ ] No
2. Are all ledgers and transoms securely fixed? [ ] Yes [ ] No
3. Are all braces (facial and ledger) correctly fitted and secured? [ ] Yes [ ] No
4. Are all connections tight and components in good condition? [ ] Yes [ ] No
5. Is the scaffold free from unapproved modifications or makeshift repairs? [ ] Yes [ ] No

Section 3: Working Platform

1. Are all planks free of splits, rot or damage? [ ] Yes [ ] No
2. Are planks fully decked with no gaps greater than 25mm? [ ] Yes [ No ]
3. Are planks secured against uplift or displacement? [ ] Yes [ ] No
4. Is the working platform width sufficient for the task? [ ] Yes [ ] No
5. Are hop-up brackets correctly installed and secured? [ ] Yes [ ] No

Section 4: Access and Egress

1. Is there safe access provided (e.g. ladder, stair tower)? [ ] Yes [ ] No
2. Are ladders secured at top and bottom? [ ] Yes [ ] No
3. Do ladders extend at least 1 meter above the landing? [ ] Yes [ ] No
4. Is access free of obstructions? [ ] Yes [ ] No
5. Are ladder cages installed if required? [ ] Yes [ ] No

Section 5: Edge Protection

1. Are handrails installed at approx 1 meter high? [ ] Yes [ ] No
2. Are mid-rails installed? [ ] Yes [ ] No
3. Are toe boards installed to prevent tools falling? [ ] Yes [ ] No
4. Is edge protection installed on all open sides? [ ] Yes [ ] No

Section 6: Mobile Scaffold Specifics (if applicable)

1. Are all wheels locked when the scaffold is in use? [ ] Yes [ ] No
2. Are outriggers deployed and locked? [ ] Yes [ ] No
3. Is the platform height not exceeding 3 times the smallest base dimension? [ ] Yes [ ] No
4. Is the scaffold used only on hard, level surfaces? [ ] Yes [ ] No

Section 7: Tagging and Signage

1. Is the current scaffold tag clearly visible? [ ] Yes [ ] No
2. Does the tag status match the inspection result (e.g. Green)? [ ] Yes [ ] No
3. Are warning signs displayed where required? [ ] Yes [ ] No
4. Are load limits clearly displayed? [ ] Yes [ ] No

Inspection Result

• Status: [ ] Safe to Use (Green Tag) [ ] Unsafe (Red Tag) [ ] Caution (Yellow Tag)

Defects Found (Describe location and action taken): [Enter details of any defects found or write 'Nil defects']

Next Inspection Due: [Date of next inspection]

Date: ___________________ Inspector Signature: ___________________