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Safety and Loss Prevention

Department
TAG NO TYPE DATE ERECTED LOCATION
DATE
INSPECTED
INSPECTED
BY
DATE
INSPECTED
INSPECTED
BY
DATE
INSPECTED
INSPECTED
BY
DATE
INSPECTED
INSPECTED
BY
REMARKS
FOREMAN
SCAFFOLD REGISTER
Safety and Loss Prevention
Department
Scaffold Ref. No.: Type: Location:
Date Erected: Erected by:
Scaffold tags
Ground condition
Sole board
Base plate
Standards
Ledgers
Transoms
Work platform
Railings
Ladders
Drop bar
Ladders
Access towards scaffold
Caster wheels
Caster wheel's locks
Scaffold Inspector
Signature
Area Safety Officer
Signature
Legends: for OK
X for not OK
N/A for not applicable
Date of Inspection
SCAFFOLD / LADDER WEEKLY INSPECTION CHECKLIST
SHARQ 3RD EXPANSION PROJECT UTILITIES AND OFFSITE
CN: 102/2496 MEI WORKS