SCAFFOLDING INSPECTION CHECKLIST

Project Name/No.:P126 Residential Apartment Building Project Location:

Date / Time Inspected: Ref. No.:
Specific Location:

Type of scaffolding:
Structural Support Cuplock
Independent Tubular
Cantiliver H-Frame
Mobile Others
Pin Type

Item Not
PARTS OK N/A REMARKS
No. OK
1 Condition of ground surface
2 Sole board (s)
3 Base Plate / adjustable base jack
4 Standards
5 Foot ties
6 Ledgers
7 Transoms
8 Scaffold Boards/platforms
9 Toe boards
10 Mid rails
11 Top rails
12 Bracing
13 Diagonal support/Out rigger support
Ladder ( Access/Egress):
a. Secured top and bottom portion
b. At least 1 meter above landing platform
14
c. 1:4 / 75 degree angle
d. No obstruction
e. Condition
15 Couplers/Cup joint/Beams Clamp
16 Joint length
17 Swing gate
18 Netting
19 Tagging
20 Others:

Comments:

Inspected by:

Name & Sign: Name & Sign:

Scaffolding Supervisor Scaffolding Inspector

Form No.: HSED-F-035-R2

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Rev. Date: 08-May-2021