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Suspended Scaffold Inspection
Project Name:
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Inspected by:
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Foreman:
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Date
Mon
Tue
Wed
Thu
Fri
Sat
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NO
N/A
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NO
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NO
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Comments
Anchor Level
U-bolts/beams secured to imbeds?
No more than one beam attached to each imbed
All shoring/formwork correctly constructed
Sway braces in place
All bolts tight (U-bolts, sway braces, etc)
All cables connected with spring-lock clips
Minimum of 3 clamps used at all wire rope attachments
Stop bolt in place at end of all beams
All planks in good condition (no cracking, rotting, etc.)
Swing Stages
Guardrails, midrails and toeboards in place
Working level fully planked
Working planks are between 6" and 12" beyond their supports
Work area clear of debris
Overhead protection in place
Gap between building and scaffold is less than 9"
No forward fall hazards presents (large openings on building)
Cables are not frayed or bird-caged
Griphoists in good, working order
Reinforced poly or snow fencing in place below guard rails and behind stepdown
Maximum load does not exceed 50PSF
Employees trained to work from/operate swings
Notes:
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Employee Id:
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Signature:
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