The following inspection sheet is specifically for the initial inspection of a scaffold and is based on the content found in OSHA regulations 29 CFR 1926.451 General requirements and the non-mandatory appendix.
| Has the scaffold been constructed to maintain a safety factor of 4 times the anticipated load? |
YES |
NO |
| Has the scaffold been designed by a qualified person? |
YES |
NO |
| Are all platforms at least 18 inches wide? |
YES |
NO |
| Are open sides of scaffold less than 14 inches from the face of the work? |
YES |
NO |
| Has the scaffold been evaluated by a competent person? |
YES |
NO |
| If scaffold components of different manufacturers are used, do they fit together without force and has a competent person determined that they are safe for use? |
YES |
NO |
| Does the scaffold conform to the 4 to1 base to height ratio requirement? |
YES |
NO |
| Scaffolds that do not conform to the 4 to 1 base to height ration must be secured to the structure by use of ties (to include ties, guide wires, bracing or equivalent means) as follows: |
|
|
Has the tie been installed at a horizontal member that supports the inner and outer legs? |
YES |
NO |
Has the first vertical tie been installed at a height less than 4 times the minimum base dimension? |
YES |
NO |
Is the vertical distance from the top tie to the top of the scaffold less than the 4 to 1 minimum base dimension? |
YES |
NO |
Are ties installed at each end of the scaffold and at horizontal distances no to exceed 30 feet? |
YES |
NO |
| Are scaffolds erected on adequate firm footings? |
YES |
NO |
| Are footings capable of supporting 4 times the intended load without settling? |
YES |
NO |
| Is scaffold plumb and braced to prevent swaying or displacement? |
YES |
NO |
| Has a ladder or safe access been provided for all scaffold platforms? |
YES |
NO |
| Has the scaffold been inspected by a competent person as required? |
YES |
NO |
| Has any damaged part of the scaffold been repaired, replaced or removed as required? |
YES |
NO |
| Do scaffolds have proper clearances from power lines? |
YES |
NO |
| Are guardrails used on all scaffolds over 10 feet in height? |
YES |
NO |
| Are guardrails and mid-rails installed on all open sides, more than 14"from the work surface? |
YES |
NO |
| Are guardrails installed at 38 to 45 inches in height? |
YES |
NO |
| Will the guardrails withstand 200 pounds in a downward or outward direction? |
YES |
NO |
| Do the braces square and align the frames? |
YES |
NO |
| Are all brace connections secured? |
YES |
NO |
| Are frames joined together by coupling pins or equivalent means? |
YES |
NO |
| Are walk boards secured to the frame? |
YES |
NO |
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| Inspector Signature_________________________________ Inspection Date____________ |