Scaffold Pre-Use Daily Inspection
Location Project
Date Click to enter date Time Scaffold Type
Inspected By (Competent Person-Scaffolding)
Site Conditions Yes No
1 Has work location been examined before start of work and all appropriate precautions taken? (e.g., checking ☐ ☐
for overhead objects, falling or tripping hazards, uneven ground)
2 Has the scaffold been set up according to manufacturer’s and/or design engineer’s instructions? ☐ ☐
General Requirements for All Scaffolds Yes No
3 Can scaffold components support at least four times their maximum intended load? ☐ ☐
4 Is the maximum load capacity of this scaffold known and communicated to all employees? ☐ ☐
5 Are all platforms fully planked with scaffold grade planks in good condition and no more than 1” gap ☐ ☐
between planks?
6 Are platforms at least 18” wide? ☐ ☐
7 Are all platform units cleated, restrained by hooks or equivalent means, or extending over the center line of ☐ ☐
their supports by at least 6”?
8 Are guardrails (toprail, midrail, toeboard, posts) used on all open sides and ends of scaffolds over 6 ft. high? ☐ ☐
9 Will the guardrails withstand 200 pounds in a downward or outward direction? ☐ ☐
10 Is the front edge of platform less than 14” from face work (if guardrails removed)? ☐ ☐
11 If scaffold components of different manufacturers are used, do they fit together without force and has a ☐ ☐
competent person determined that they are safe for use?
12 Are scaffolds, tools, and materials at least 10 ft. away from energized power lines? ☐ ☐
13 Is platform free of clutter, mud, oil, or any tripping hazard? ☐ ☐
Supported Scaffolds Yes No
14 Has the scaffold been constructed to maintain a safety factor of 4:1 height to base width ratio? ☐ ☐
15 If ratio is more than 4:1, are scaffolds secured to a building or structure as required? ☐ ☐
16 Is scaffold plumb, square, and level? ☐ ☐
17 Have diagonal stiff legs and/or guy wires been installed to support the scaffold towers? ☐ ☐
18 Are U-bolts placed over the dead end of the wire, and the saddles placed of the live end of the wire? ☐ ☐
19 Is a guy wire installed at a horizontal member that supports the inner and outer legs? ☐ ☐
20 Are legs, posts, frames and uprights on base plates attached to mudsills (if on dirt)? ☐ ☐
21 Are footings level, sound, rigid, and capable of supporting 4 times the intended load without settling? ☐ ☐
22 Are poles, legs, and uprights plumb and securely braced to prevent swaying or displacement? ☐ ☐
23 Are scaffold components free of any bends, cracks, holes, rust, welding splatter, pits, broken welds, or non- ☐ ☐
compatible parts?
24 Unstable objects such as blocks, bricks, buckets, etc. are not used as work platforms or to support scaffolds. ☐ ☐
Access Yes No
25 Is safe access provided for all scaffold platforms that are more than 2 ft. above or below the point of access? ☐ ☐
26 If ladder used, is it securely attached to the scaffold and extends at least 3 ft. above the platform level?
Stairway-type Ladders Yes No
27 Is the bottom step no more than 24” above the scaffold supporting level and does the ladder extend 36” ☐ ☐
above the working platform?
28 Are slip-resistant treads on all steps and landings? ☐ ☐
29 Are stair rails consisting of a top-rail and a mid-rail provided on each side of each scaffold stairway? ☐ ☐
Use Yes No
31 Have all workers been properly trained by a qualified person? ☐ ☐
32 Is scaffolding within rated capacity for loads, materials, workers and weather conditions? ☐ ☐
33 Has the scaffold been inspected by a competent person as required? ☐ ☐
34 If any piece of scaffold is defective, has it been removed from service and tagged? ☐ ☐
Personal Fall Protection Yes No
35 Are personal fall protection systems used where guardrails are not feasible? ☐ ☐
Falling Object Protection Yes No
36 Have toeboards at least 3.5“ high been installed to prevent falling objects? ☐ ☐
37 Are screens/barriers installed between toeboard and guardrail, if objects taller than toeboards? ☐ ☐
38 Is the area below scaffolding designated hard hat only, barricaded and posted with warning signs? ☐ ☐
Comments: Click to enter text
