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Scaffolding Inspection Checklist Template

This document contains a scaffolding inspection checklist for scaffolding under 38 meters in height. It lists 23 points to check regarding the safe construction and use of scaffolding, including ensuring scaffolding materials are in good condition, the scaffolding is stable, properly braced and secured, includes guardrails and fall protection as required, and has been properly erected according to regulations. Permission in the form of a permit is required to erect the scaffolding.

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Hemant Patil
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201 views2 pages

Scaffolding Inspection Checklist Template

This document contains a scaffolding inspection checklist for scaffolding under 38 meters in height. It lists 23 points to check regarding the safe construction and use of scaffolding, including ensuring scaffolding materials are in good condition, the scaffolding is stable, properly braced and secured, includes guardrails and fall protection as required, and has been properly erected according to regulations. Permission in the form of a permit is required to erect the scaffolding.

Uploaded by

Hemant Patil
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Scaffolding Details
  • Scaffolding Inspection Checklist

·­

Contractors Name: Erected By:


Location of Scaffold:
Permit No. Oate of erection:
Estimated Load (Man, Machine &Material):

,-~-~~~-~~~~-- E
~.--L

~~Slr~
iiUiJ;-G

J
K
Al SCAFfOLD PLANKS (BOARDS) I) RUNNER (LEDGER)
8) BEARER (TRAIISOM) Jl BASE PLATE
C) LONGITUDIIiAL (FACADE) BRACIIiG K) SILL/SOLE BOARD)
DI TRANSVERSE (SECTIONAL) B1IACIIiG L) SELF-CLOSING DROP BAR
E) TOPRAIL (INSIDE POSTS)
F)MIORAIL M) BASE LIFT (KICKER LIFT)
GITDEBOARD FALSE UPRIGHT (PUNCHEON)
POST COUPLER

Date Contractor Sign BPCL Executing Sign


Supervisor Name Officer Name

BPCl Safety Oftieer Sign


Date
Name

Date Contractor Sign BPCl Executing Sign


Su rvisorName Officer Name

Valid for 15 (Fifteen) days. if not altered.


[Link].: _ __
Health. Safety & Environment Dept
SA SCAFFOLDING INSPECTION CHECKLIST POINTS­
YES/NO NA
(Below 38 Meter Height)
Are all scaffolding material in sound and good
1. condition as per IS standard?

Is the scaffolding installed on firm Base plate?

2. (Mud sills required If on dirt)


3. Is first horizontal member placed at 2.1 meter?

After first hOrizontal member, are runner

4. horizontally placed at distance less than 2 meter?

5. Is bay width of 1.25 meter mainfained?


Is bay lenght of 3 meterl2 meter 1.5 meters maintained for

6. light duty (capacity 125 kglm2)1 medium duty (capacity

250 kglm2) I heavy duty (capacity 315 kglm2) scaffolding

respectively?

If the scaffolding exceeds 4.1 (Height:wldth) safety


7. factor, has the scaffold been restrained by the use of

guys. ties or braces?

8. Are loagitudlnal and transverse braces installed on


both the end bays?

Are longitudinal braces repeated every fourth bay when

9. counted from one direction at 45 degree ?

Are bearers extending beyond the post & runners? Are

10 runners extending bey ond posts min 3 inches?

11 Is the scaffold plumb and spirit level tested to prevent

swaying or displacement? I

Do the planks properly rest on bearer and secured properly?


12 Does Planks extend past the ends of the scaffold frames

more than 6 inches?

13 Is rest plalfrom provided at less than 10.1 meter distance?


14 Is Plalform at least 18 inches wide?
15 Has top rail at 1 meter, mid rail at 0.5 meter and toe
guard of 6 Inches provided?
6 If platform has been provided, Is the gap between

planks is less than 1-inch?

Is the access ladder provided? (Horizontal rung length of

7 at least 111ft max vertical rung spacing of 16.75 inches:

lowest rung max 24" from ground; 1 mtr extended from platform)

18 Is the work platform free of clutter, mud. oil, or any


tripping hazard.

If a person Is working above 2 meter height. is Personal

9 fall arrest system like Belt I Safety Nets I Retractable fall

arrestor system I Fall Restrain systeml Rope Grab is used?

20 Is Scaffold 14" orless from face of work. (If no front


guardraild provided) 18" for civil jobs).

21 Are Casters wheels locked before work begins


for movable scaffoldings

22 Is the scaffolding stabe and firm (Not shaking)?


23 Is drawing prepared for scaffolding more than 10 meters
and is the scaffold as per drawing?

·­ Contractors Name: Erected By: Location of Scaffold: Permit No. Oate of erection: Estimated Load (Man, Machine &Materi
SA SCAFFOLDING INSPECTION CHECKLIST POINTS­ NA YES/NO (Below 38 Meter Height) Are all scaffolding material in sound and good

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