UNITED INDUSTRIAL SERVICES CO.

LLC
SCAFFOLDING INSPECTION CHECKLIST

Location: Date & Time:

Job # & Name:

Inspection done by :-

Sl. Description Yes No NA Remarks

1 Personnel involved in erection and dismantling of scaffolding
trained and experienced in that work.
† † †
2 Trained and experienced supervisors provided for the control of
erection and dismantling of scaffolds.
† † †
3 Personnel involved in the erection and dismantling of scaffold wear
safety harness, helmet with chinstrap, gloves & shoes.
† † †

4 Scoffold erection has taken into consideration the structures,

overhead lines and other activities in the vicinity.
† † †
5 Scaffolding materials are of proprietary make, free from defects /
damages and used in accordance with its designed purpose.
† † †
6 Standards placed on hard ground, steel, concrete, etc. or suitable sole
plates / base plates provided.
† † †
7 Sole plates where provided support at least two standards; either two
adjacent or two opposite standards.
† † †
8 Spacing is adequate between the standards with respect to the
intended load.
† † †
Type of work Spacing Maximum Load
Access 2.7 M 0.75 KN / M2
Light Duty 2.4 M 1.50 KN / M2
General Purpose 2.1 M 2.00 KN / M2
Heavy Duty 2.0 M 2.50 KN / M2
Special Duty 1.8 M 3.00 KN / M2

9 Ledger joints are staggered and not on the same bay. † † †

10 Transoms spacing suitable to the platform board thickness
Thickness Transoms Spacing
† † †
32 mm 0.9 m
40 mm 1.5 m
51 mm 2.5 m
63 mm 3.2 m

11 Intermediate transoms are provided where the transoms spacing

exceeds the limit (every 1.5m for 40 mm thick plank).
† † †
12 Ledger (shorter dimension) / façade (longer dimension) bracing
provided from bottom up to top lift.
† † †
13 Platform is fully boarded without any gaps between hand rails. † † †
14 The spacing between platform and the structure being worked on does
not exceed 300 mm, without any need for stretching.
† † †
15 Work platform is free from projecting nails, bends, cracks, gaps, † † †
overlaps, etc.
16 Planks are securely fastened with clamps. † † †
17 Overhanging of wooden planks of working platforms is restricted
between 50 – 150 mm.
† † †

UNISCO[PF]HSE-15 REV-00 15/07/16

 UNITED INDUSTRIAL SERVICES CO.LLC
SCAFFOLDING INSPECTION CHECKLIST

Location: Date & Time:

Job # & Name:

Inspection done by :-

Sl. Description Yes No NA Remarks

18 Work platforms provided with double guard rail (top & middle)
and toe boards.
† † †
19 Top rail are provided at 950mm above work platform. † † †
20 Toe boards are secured inside the standards and provided around † † †
all open sides.
21 The gap between the toe board and the middle rail does not
exceed 470mm.
† † †
22 Ties provided fixing the scaffolding to fixed structures (one tie for every
40 m sq).
† † †
23 Scaffold area barricaded to prevent movement of vehicle /
equipment / personnel, in the vicinity.
† † †
24 Proper ladder of proprietary make is provided for ascending &
descending and reaching all part of the scaffold (above 1.5 m).
† † †
25 Ladder made of timber (timber not painted) or aluminium. † † †
26 Series of ladders with intermediate platforms properly protected with
guard rails and toe boards, are provided, where more than 9 m height
† † †
to be climbed.
27 The base to height ratio of ladder maintained as 1 : 4 such that the
angle is 75° from horizontal and 15° from vertical.
† † †
28 The ladder is adequately secured with a minimum vertical
protrusion of 1 m above Platform.
† † †
29 Scafftag provided in the scaffold indicating its suitability for use. † † †

Comments, if any:

Inspected By :

Name : Signature :

Designation : Date :
Inspection carried out by: Signature with date:

UNISCO[PF]HSE-15 REV-00 15/07/16