P. O. Box: 261032, Dubai, U.A.E Tel: 04 – 2821182, Fax: 04 - 2820215 E-mail: dynatechsafety@eim.ae

SCAFFOLDING SAFETY INSPECTION CHECK LIST

Contractor: Job No.:

Project: Date:

Type: Location:

Built by:

Base Lift:

Standards: Base plated Sole plates Plumbs

Ledgers: Level No deflection 90 Couples used

Transoms: Level Tied between uprights

Fittings: Correctly installed Tight

Comments:::Intermediate Lifts:

Standards: Plumb Even

Ledgers: Level No deflection 90 Couples used

Transoms: Level Tied between uprights

Bracing: Ledger bracing Longitudinal bracing None

Ties: Column box Through tie None

Fittings: Correctly installed Tight

Comments:

Working Lifts:

Standards: Plumb Even

Ledgers: Level No deflection 90 Couples used

Transoms: Level Tied between uprights Intermediate

Bracing: Ledger bracing Longitudinal bracing None

Fittings: Correctly installed Tight

Boards: Lashed / secured Butted Good condition

Toe boards fitted Correct size

Guardrail: Installed Stop end provided

Access: Ladder Lashed / locked Good condition

Correctly installed No step marked

Comments:

Miscellaneous:

Mobile Locking wheels Internal ladder

Approval tag Protected against plant & machinery

Safe to work

Unsafe to work Name Signature

Format# DSSS/S/06