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Scaffold Safety Checklist
Archive Document-DO NOT DISCARD
Project/Project#: *
proyecto: *
Date: *
fecha: *
Competent Person: *
Persona competente: *
Company: *
Nombre de la compañía: *
Mon
Wed
Tues
Thurs
Fri
Sat
Sun
Inspector: *
el inspector: *
Item:
artículo:
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
1. Are Sills properly placed and adequately sized?
2. Have screw jacks been used to level and plumb scaffold instead of unsafe objects such as concrete blocks?
3. Are base plates and/or screw jacks in firm contact with sills and frames?
4.Are all scaffold legs braced with braces properly attached?
5.Is guard railing in place on all open sides and ends above the 6 foot level?
6.Have ladders been provided as a means of access to the scaffold?
7.Have free standing towers been guyed or tied so as not to exceed the 4 to 1 base height ratio IAW Subpart “L” of the OSHA standards 29 CFR 1926.45 (c) (1) (ii).
8. Are working level platforms fully planked between guard rails with no split planking used?
9. Does planking have minimum 12” overlap extended beyond supports and cleated at ends?
10. Are toe-boards installed properly?
11. Has a tie off analysis been performed, (list details on back)
12. Are safety harnesses available for use when needed?
13. Have all employees working on scaffold been informed of and trained in safe working practices while working on the scaffold?
14. Are out riggers properly installed at 90 degree angles perpendicular to the bldg.?
15. Have scaffold components been properly inspected for damage and compatibility?
16. he load limit for this scaffold is _______ lbs per square foot. Has this information been communicated to workers utilizing the scaffold?