Yes__No__Scaffold components and planking in safe condition for use and planks graded for scaffold use?

Yes__No__Frame spacing and sill size capable of carrying intended loading?

Yes__No__Competent person in charge of erection and to inspection?

Yes__No__Sills properly placed and adequate sized?

Yes__No__Screw jacks been used to level and plumb scaffold instead of unstable objects?

Yes__No__Base plates and/or screw jacks in firm contact with sills and frame?

Yes__No__Scaffold is level and plumb?

Yes__No__Scaffold legs braced with braces properly attached?

Yes__No__Guard railing in place on all open sides and ends?

Yes__No__Overhead protection or wire screening been provided where necessary?

Yes__No__Scaffold been tied to structure at least every 30' in length and 26' in height?

Yes__No__Free standing towers been guyed or tied every 26' in height?

Yes__No__Brackets, tube and clamp,  and accessories been properly placed with nuts and bolts tightened?

Yes__No__Scaffold free of makeshift devices or ladders to increase height?

Yes__No__Planks have minimum 12" overlap and extend 6" beyond supports?

Yes__No__Toe boards properly installed?

Yes__No__Conditions such as power lines, wind loading, etc. controlled?

Yes__No__Safe way to get on and off the scaffold without climbing on cross braces?

Yes__No__Front face within 14 inches of the work or within three feet for outrigger scaffolds?

Project Name: Project Location:
Inspected By: Date: Manufacturer:
Equipment # Serial #:
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Inspected By_______________________
Equipment #_______________________
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