STATIONARY SCAFFOLD SAFETY CHECK LIST

Project:___________________________________________________________________

Address:__________________________________________________________________

Contractor:________________________________________________________________

Date of Inspection:___________________Inspector:_______________________________
	
	Yes	No	Action/ Comments	
1.  Are scaffold components and  planking in safe condition for           use and is plank graded for scaffold use?				
2.  Is the frame spacing and sill size capable of carrying  intended       loadings?				
3.  Have competent persons been in charge of erection?				
4.  Are sills properly placed and adequate size?				
5.  Have screw jacks been used to level and plumb scaffold                 instead of unstable objects such as concrete blocks,  loose              bricks, etc.? 				
6.  Are base plates and/or screw jacks in firm contact with sills           and frame?				
7.  Is scaffold level and plumb?				
8.  Are all scaffold legs braced with braces properly attached?				
9.  Is guard railing in place on all open sides and ends above 
     10 feet?				
10. Has proper access been provided?				
11. Has overhead protection or wire screening been  provided              where necessary?				
12. Has scaffold been tied to structure at least every 30 feet in              length and 26 feet in height?				
13. Have free standing towers been guyed or tied every 26 feet in         height?				

	Yes	No	Action/ Comments	
14. Have brackets and accessories been properly placed:
                Brackets?				
                Putlogs?				
                Tube and Clamp?				
                All nuts and bolts tightened?				
15.  Is scaffold free of makeshift devices or ladders to                      increase height?				
16.  Are working level platforms fully planked between guard          rails?				
17.  Does plank have minimum 12 inch overlap and extend 6           inches beyond supports?				
18.  Are toeboards installed properly?				
19.  Have hazardous conditions been provided for:
                Power lines?				
                Wind loading?				
                Possible washout of footings?				
                Uplift and overturning moments due to                                       placement of brackets, putlogs,or other                                       causes?				
20.  Have personnel been instructed in the safe use of the                 equipment?				

NOTES_______________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________