Department / Contractor Project/ Location: Inspector Date ofimspecton ‘Are scafoid components and planking in safe concition for use and is plank graded for seeffold use? @_ Is the frame spacing and sil size capable of corning intenced loacing? 3. Have competent persons been in charge of erection? 4. Are sills property placed and adequate size? 'S._ Have screw jacks been used fo level and plumb scaffald instead of unstable objects? Are base plates andlor sorew jeoks in fim contact wif sis and plumb? Is scaffold level and plumb? “Are all scaffod legs braced with breces pope ‘attached? 3 Is guard raling a place on all open sides and ends? 410, Has proper access been provided? Ti Has overhead protection or wire soreaning been provided where necessary? 7G, Has scaffold been ed to sructure at east every SO (8.4 m) inlangth and 26" in height? 7S. Have free standing towers bean guyed orfied every 28| (7.9m) in height” 7a, Have brackets and accescories been propery placed? (Patogs, Ture & Clamp, Ns Ate sgmenng) TE. Is scaffold frac of makeshift davices or ladders to increase height? 1 Are working level platforms Fully planked between guard rails? Do planks have ranimum 1 (G04 em) everlp and extend 6° (15.2 om) beyond supports? 8 ‘Are toe boards installed property? 7, gs area been inspecled far hazardaus condiions? (Power Lines ara Wind Loading, Pose waatout of fommgs) 2 Is there 2 safe way to get on and offthe scaffold without climbing on cross braces? ai Five personnel been instucied in the safe use of We ‘equioment? pe vesrord coms safer applications ons