Corporate Safety - Form Scaffolding Checklist Scaffolding Checklist Yes Criteria No N/A Documentation & Training ☐ ☐ ☐ ☒ ☐ ☐ ☐ ☐ ☐ Is scaffold plan / drawings on site up to date and signed off? Is a hand over certificate available on site? Are procedures in place to inspect scaffolding every 30 days? (signage in place to indicating scaffolding incomplete where required) Is a work method statement or appropriate documentation available for the site management of the scaffolding? (Has the ticketed scaffolder details been provided in the SWMS, Have tickets been checked? Scaff over 4m being completed by a Ticketed Scaffolder (If not, stop work)?) ☐ ☐ ☐ Foundation: Is the Scaffolding erected on suitable foundation/footings (e.g. not adjacent to trenches, excavation, underground services) ☐ ☐ ☐ ☐ ☐ ☐ Over head power lines (OHPL): Is scaffold situated within 6m of electrical lines/ conductors? (This is to prevent the wind from being able to blow power lines into scaffold structure.) ☐ ☐ ☐ Is the Scaffold maintained in good condition? (visual check, Is scaffold straight level & clean?) Has the OHPL been insulated or de-energised If the OHPL have not been de energised is there a system of work to ensure the scaffolding complies with local requirements during erection, altering, use and dismantling Working Platforms Are planks uniform and in good condition? (no splits, cracks, knots, bends, a minimum 220mm (approx. size of a large foot) wide, free from obstruction etc) (Planks in bad condition should be marked and sent back to supplier.) ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Are there gaps or openings in working platform? (missing planks, gaps covered and secured eg plywood (17mm) (Any platform missing should be barricaded and rectified.) Are kickboards/ toeboards fitted to all Access/ Egress and Working decks? (Edge protection is required on open sides & ends of platforms over 2m) ☐ ☐ ☐ Are any of the platform bays being used to stack/store materials e.g. bricks, formwork ☐ ☐ ☐ ☐ ☐ ☐ Is there any materiel etc being stacked/stored above the height of the guardrail? (Does the weight of these material exceed the rated working load limit per platform bay (Heavy 675kgs, Medium 450kgs, Light 225kgs per bay) Signs and Barricades Are signs for duties placed on platforms? (Scaff tag - Heavy 675kgs, Medium 450kgs, Light 225kgs per bay) This allows crane crew etc, to instantly recognise how much weight can be placed on the scaffold Are adequate barricades supplied during erection, alteration or dismantling of scaffold? (Barricades should encompass entire work area) ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Access and Egress Rev. no. 1 Doc No. FRM-01217 Doc Owner HSW Systems and Improvement Specialist Version Date 27/07/2021 Doc Approver Principal - Health, Safety and Wellbeing The controlled version of this document is registered. All other versions are uncontrolled. Page 1 of 2 Corporate Safety - Form Scaffolding Checklist Is Access and Egress supplied to all working platforms? (All independent scaffolds must have access as well as egress from all working platforms to the ground) If not, stop work on scaffold until rectified Are all ladder and stair access internal? (fitted within a ladder/ stair access tower) Is the access along the working platform of suitable size? (minimum 450mm wide for persons and tools only (2 planks); or minimum 675mm wide for persons and materials (3 planks)) Mobile Scaffolds Was mobile supplied complete with erection instructions? (if not, stop work on scaffold until rectified) Is mobile fitted with handrails and midrails? All scaffolds should have hand/ mid rails regardless of height Are wheels locked when in use? Is scaffold situated on a hard firm surface? (Concrete, wood etc) Is working deck complete? (split decks are illegal) Is ladder supplied and fitted internally? (All mobiles over 2m must have ladder fitted.) Edge Protection Is edge protection provided where a person or object could fall (2m or more)? ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Are guardrails erected between 900mm and 1100mm? (minimum 900mm and no greater than 450mm between rails, QLD) above the platform ☐ ☐ ☐ ☐ ☐ ☐ Where the gap between scaffolding and the working face of the supporting structure is > 225mm (approx size of a large foot) has edge protection been provided? ☐ ☐ ☐ Rev. no. 1 Doc No. FRM-01217 Doc Owner HSW Systems and Improvement Specialist Version Date 27/07/2021 Doc Approver Principal - Health, Safety and Wellbeing The controlled version of this document is registered. All other versions are uncontrolled. Page 2 of 2
