Free Scaffold Inspection Form Template
Scaffold Inspection Form
Please fill out this form completely to document the safety inspection of scaffolding.
Inspection Details
Location/Job Site
Date of Inspection
Inspector’s Name
Inspector’s Phone number
Scaffold Checklist
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Inspection Item |
Pass |
Fail |
N/A |
|---|---|---|---|
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1. Base plates and mudsills are properly installed |
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2. Scaffolding is level and plumb |
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3. Guardrails and toe boards are in place |
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4. Platforms are fully planked and secure |
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5. Cross-bracing is correctly installed |
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6. No visible damage to structural components |
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7. Access ladders/stairs are secure |
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8. No debris or materials on platforms |
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9. Scaffold is free from electrical hazards |
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10. Safety tags are up-to-date |
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Comments/Notes
Signature
Name:
Date:
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