Scaffolding Safety Checklist


Scaffolding Safety Checklist

Inspection Date & Time
:  
Supervisor Name

General Rules

Has the scaffold been inspected before each use?
No more than inch gaps between scaffold planks
18 inches width for platform (no more than 12 inches on pump jacks)
Can scaffold support at least four times its intended load?
If work height is more than 10 feet, is there a guardrail system?
Check all that apply for guardrail:
Do the planks extend less than 12 inches past the ends of the scaffold?
Are the wheels and casters locked while in use?
Is the work platform free from clutter?
Is there a ladder present or other safe way to get on and off the scaffold?
Is the scaffold height greater than three times its base width?
Is there appropriate protection against falling materials if there are workers below the scaffold?
Is there a minimum power line clearance of 10 feet?
Is each scaffold platform and walkway at least 18 inches (46 cm) wide?
Is ladder jack scaffold, top plate bracket scaffold, roof bracket scaffold, or pump jack scaffold at least 12 inches (30 cm) wide?
Is the lumber free of cracks, splits, and knots?
If the scaffold is defective, has it been tagged out and removed from service?
Are front-end loaders and similar pieces of equipment being used to support scaffold platforms?
Are fork-lifts being used to support scaffold platforms? This is acceptable as long as the entire platform is attached to the fork and the fork-lift is not moved horizontally while the platform is occupied.

Suspension Scaffolds

Is the height to base width ratio less than 4:1?
Are base plates used on scaffold frames and uprights?
Are suspension scaffold outrigger beams made of structural metal or equivalent strength material, and restrained to prevent movement?
Is the scaffolding base level and rigid with no settling?
Are the inboard ends of suspension scaffold outrigger beams stabilized by bolts or other direct connections to the floor or roof deck, or have their inboard ends stabilized by counterweights? Please note that Masons’ multi-point adjustable suspension scaffold outrigger beams shall not be stabilized by counterweights.
Are counterweights made of non-flowable material?
Are counterweights secured by mechanical means to the outrigger beams to prevent accidental displacement?
Are outrigger beams (not stabilized by bolts or other direct connections to the floor or roof deck) secured by tiebacks?
Is the shackle or clevis with which the rope is attached to the outrigger beam placed directly over the center line of the stirrup?
Are suspension scaffold support devices (cornice hooks, roof hooks, roof irons, parapet clamps) made of steel, wrought iron, or materials of equivalent strength?
Have ropes been inspected for defects by a competent person prior to each work shift and after every occurrence which could affect a rope's integrity?

Scaffold Access

If platforms more than 2 feet (0.6 m) above or below a point of access, are ladders, ramps, walkways, access from another scaffold, personnel hoist being used?
Are hook-on and attachable ladders positioned so that their bottom rung is not more than 24 inches (61 cm) above the scaffold supporting?
Are the ladders minimum rung length 11 1/2 inches (29 cm)?
Is the rung maximum spacing on the hook-on and attachable ladders 16 ¾ inches?
Is the bottom step not more than 24 inches (61 cm) above the scaffold supporting level?

Signature & Date

Date/Time
:  
Use your mouse or finger to draw your signature above
Powered by Formstack Create your own form