Scribd Logo
Upload

Welcome to Scribd!

  • 8 views

    CHEKSHEET SCAFFOLDING Rev

    Uploaded by

    Takamay Jason
    This document is an annual inspection sheet for scaffolding. It records the date of inspection, type of scaffolding, duties, location, personnel involved, and the condition of 16 scaffolding components for each day of the week. It also has spaces for safety recommendations and signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    CHEKSHEET SCAFFOLDING Rev

    Uploaded by

    Takamay Jason
    8 views1 page
    This document is an annual inspection sheet for scaffolding. It records the date of inspection, type of scaffolding, duties, location, personnel involved, and the condition of 16 scaffolding components for each day of the week. It also has spaces for safety recommendations and signatures.

    Original Description:

    Original Title

    CHEKSHEET SCAFFOLDING rev

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is an annual inspection sheet for scaffolding. It records the date of inspection, type of scaffolding, duties, location, personnel involved, and the condition of 16 scaffolding components for each day of the week. It also has spaces for safety recommendations and signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    8 views1 page

    CHEKSHEET SCAFFOLDING Rev

    Uploaded by

    Takamay Jason
    This document is an annual inspection sheet for scaffolding. It records the date of inspection, type of scaffolding, duties, location, personnel involved, and the condition of 16 scaffolding components for each day of the week. It also has spaces for safety recommendations and signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    PIC Scaffolding Installer Scaffolding

    ANNUAL INSPECTION SCAFFOLD SHEET

    DATE OF INSPECTION : SCAFFOLDER PERSONEL : 1. 3.


    TYPE SCAFFOLD : 2. 4.
    DUTIES OF SCAFFOLD : Light Medium Heavy SUPERVISOR :
    LOCATION ERECTION :
    Hari Senin Selasa Rabu Kamis Jum'at Sabtu Minggu
    Tanggal
    No
    Kondisi Kondisi Kondisi Kondisi Kondisi Kondisi Kondisi
    NAMA ITEM
    OK NG OK NG OK NG OK NG OK NG OK NG OK NG
    1 Struktur tanah
    2 Sudut kemiringan
    3 Kondisi area
    4 Planking/Papan
    5 Castor/Roda
    6 Jack base
    7 Frame/Pipa
    8 Breacing/silang
    9 Joint pin/Nut
    10 Tangga
    11 Walking frame/H
    12 Arm lock
    13 Working deck
    14 Clamp
    15 Hand rail
    16 Stopper
    17 Outriger / support
    Tanda tangan PIC
    SAFETY RECOMMENDATION

    Inspected by : Signature

    You might also like