Scaffold Erection Checklist: HSE Plan Revision 01 HSE-04 Page 1 of 1
Scaffold Erection Checklist: HSE Plan Revision 01 HSE-04 Page 1 of 1
Scaffold Erection Checklist: HSE Plan Revision 01 HSE-04 Page 1 of 1
Contractor/subcontractor: .
To be inspected by Team Leader/Supervisor before using:
Job title:....
Location: ..... Issued date:Time:
1 Is ground level and firm or properly compacted or proper supports have been placed under the
structure?
2 Are base plates adjusted to fit in scaffolding?
3 Are plywood and/or steel box located underneath the base plate and in good conditions?
8 Are all the scaffold, board, tubular and staircase in good conditions, no bends or cuts?
13 Are top and mid rails provided above the platform and secured?
15 Is access to building properly provided with 3 boards, top and mid raids and secured?
Inspector: _____________________________________________________________________________
Remark: ______________________________________________________________________________
HSE Plan HSE-04
Revision 01 Page 1 of 1