Repeat for each scaffold. Each one asks:
Scaffold reference or tag number*Short answer
Scan the scaffold tagScan a label: tag number
Optional. Scan the label or tag to capture its numbers.
Location, elevation and lifts*Short answer
Scaffold position (GPS)Short answer
Optional. Useful on a large site with several scaffolds.
Type of scaffoldChoose one
Erected by (contractor)Short answer
Design or TG20 compliance sheet referenceShort answer
Load class or duty on the handover certificateShort answer
Height to the top working platform (m)Number
Optional. An estimate from a photo of the elevation with a door or a person at the base. The design or handover certificate gives the figure that matters.
Have you seen the handover certificate?Yes or No
- CheckAsk the scaffold contractor for the handover certificate before the scaffold is used. It records what the scaffold was designed for and who signed it off.
Shown when “Have you seen the handover certificate?” is No
Date of the last recorded inspectionDate
Days since the last inspectionWorked out by the form
Shown when “Date of the last recorded inspection” is answered and “Date of inspection” is answered
- WarningInspection overdue. More than 7 days have passed since the last recorded inspection. Do not let anyone work from it until this inspection is complete.
Shown only when the answers above make it relevant
- CheckThe last inspection date is after the date of this inspection. Check both dates.
Shown only when the answers above make it relevant
Ground, sole boards and base plates sound, level and undisturbedChoose one
What is wrong?Short answer
Shown when “Ground, sole boards and base plates sound, level and undisturbed” is “Defect”
Standards plumb, joints staggered, none missing or damagedChoose one
What is wrong?Short answer
Shown when “Standards plumb, joints staggered, none missing or damaged” is “Defect”
Ledgers and transoms in place, couplers tightChoose one
What is wrong?Short answer
Shown when “Ledgers and transoms in place, couplers tight” is “Defect”
Bracing (ledger, façade and plan) in place and completeChoose one
What is wrong?Short answer
Shown when “Bracing (ledger, façade and plan) in place and complete” is “Defect”
Ties and anchors in place, none removed, tested where requiredChoose one
What is wrong?Short answer
Shown when “Ties and anchors in place, none removed, tested where required” is “Defect”
Working platforms fully boarded, boards sound, supported and not overhanging too farChoose one
What is wrong?Short answer
Shown when “Working platforms fully boarded, boards sound, supported and not overhanging too far” is “Defect”
Guardrails, intermediate rails and toe boards or brick guards fittedChoose one
What is wrong?Short answer
Shown when “Guardrails, intermediate rails and toe boards or brick guards fitted” is “Defect”
Main guardrail height above the platform (mm)Number
Measured with a tape at the lowest point you find.
Shown when “Guardrails, intermediate rails and toe boards or brick guards fitted” is answered
- GuidanceBelow 950 mm. Schedule 2 of the Work at Height Regulations 2005 asks for the top guardrail to be at least 950 mm above the edge.
Shown only when the answers above make it relevant
Ladders, stairs and access gates secure, ladder access gates self-closingChoose one
What is wrong?Short answer
Shown when “Ladders, stairs and access gates secure, ladder access gates self-closing” is “Defect”
Not overloaded; materials stacked within the load classChoose one
What is wrong?Short answer
Shown when “Not overloaded; materials stacked within the load class” is “Defect”
Sheeting and netting secure (and allowed for in the design)Choose one
What is wrong?Short answer
Shown when “Sheeting and netting secure (and allowed for in the design)” is “Defect”
Protection for the public: fans, netting, lighting, base protectionChoose one
What is wrong?Short answer
Shown when “Protection for the public: fans, netting, lighting, base protection” is “Defect”
Scaffold tag or status board shows the current inspectionChoose one
What is wrong?Short answer
Shown when “Scaffold tag or status board shows the current inspection” is “Defect”
PhotosPhotos
Defects on this scaffoldWorked out by the form
Result*Choose one
What is the restriction?Short answer
Shown when “Result” is “Safe to use with a restriction”
How was it taken out of use (tag removed, access barred) and who was told?Notes
Shown when “Result” is “Not to be used”
- WarningNot to be used. Remove or reverse the tag, bar the access points and tell the person in control of the work before you leave.
Shown when “Result” is “Not to be used”