SUSPENDED SCAFFOLD SAFETY CHECKLIST
Company Name:
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Please Select
Acutron
Affiliated Construction
American Electric
American Standard
BEK
CMC Steel Fabricators
Commercial Plumbing
Geo Solutions
Haas Insulation
Honolulu Fire Protection
Heide & Cook - JONATHAN
Heide & Cook - TYLER
Island Flooring
JACO Builders
KOGA Engineering
Kone, Inc
Master Sheet Metal
Nordic PCL
Northwest Tower Crane
Oahu Metal and Glazing
R&L
Swanson Steel
Job Site:
*
Inspected by:
*
Inspection Date:
*
/
Year
/
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Checklist Items:
*
Rows
YES
NO
N/A
Is equipment damaged?
Is equipment overloaded?
The equipment is not altered in any way.
The equipment is not used for any purposes or in ways other than for what it was intended.
Communication with workers on the platform is available.
A competent person qualified in the use of suspended scaffolds supervises all the suspended scaffold systems that must be erected, altered, and dismantled.
Unattended platforms are secured and power is disconnected to prevent unauthorized use.
All required labels are present and clearly legible.
All connection hardware is in good working condition with properly installed locking devices.
The structure is able to support the loads imposed by the rigging equipment.
The rigging equipment is properly designed for the application and has been correctly assembled and installed per the manufacturer’s instructions.
Additional safety precautions are taken when welding from a suspended scaffold.
All temporary rigging equipment is properly tied back to a structurally sound anchorage.
Davits, sockets, or other permanent equipment are erected and installed correctly,
and inspections are current.
When using counterweighted outrigger beams, the number of counterweights match the outreach and hoist rated load capacity per the counterweight formula.
Tested anchorage supports used in lieu of counterweights will support all applied loads.
All welds are in good condition.
All components are undamaged and are in good working condition. All mounting holes are free from deformation and/or cracks.
Steel parts do not have penetrating rust.
The platform is properly designed for the application and has been correctly assembled per the manufacturer’s instructions or design drawings.
The platform stirrups are in line with the rigging equipment.
The live load does not exceed the platform rated load capacity.
All visible welds are in good condition and not visibly cracked, torn, or excessively corroded.
All components are in good order, and there are no missing, bent or damaged parts.
All mounting holes are free from deformation.
The hardware is grade 5 or better and in good condition; the lock nuts are not worn.
The stirrup sheaves, bearings, and inlet wire rope guides are in good condition.
The wire rope is properly reeved through the sheaves.
The deck is free from excessive debris that could cause a slipping hazard or affect the load capacity and/or proper
functioning/installation of the component(s).
The platform is free from chemical corrosion and excessive abrasion damage.
When working near live power lines, a safe distance must be maintained. Check with the local authority when
working near exposed power lines. A minimum clearance of 10 feet is required between scaffold equipment and
power lines. Your local power company has been contacted regarding problems or issues relating to any hazards.
Weather conditions are acceptable for safe use of the platform. Wind speeds do not exceed 25 mph for a multi-point suspended platform OR 20 mph for a single-point work cage or bosun’s chair.
The hoists are properly selected for the application and have been correctly installed per the manufacturer’s
instructions.
The manufacturer’s operating instructions have been read, understood, and are available for reference.
The daily tests have been performed according to the hoist operating manual.
The hoists are in proper working order.
The electric cable and/or air hose connections are secured, have been inspected, and are safe for use.
The power supply is adequate for the number and type of hoists being used.
The wire rope has been inspected and is in good working condition.
The length of the wire rope is appropriate for the specific job and is poperly attached to the support equipment.
All fittings ae checked under load.
Strain reliefs are present and connected.
The emergency stop and secondary brake operate correctly.
All operators have been properly trained.
Controlled descent is tested and is working properly.
Workers use proper fall arrest equipment at all times.
Each vertical lifeline has been inspected for safe use and is correctly installed with edge protection to an
independent anchor point capable of holding a 5,000 pound ultimate load.
Each rope grab is correctly installed and operating properly, and the size is compatible with the lifeline.
Each full body harness is properly inspected and adjusted.
Each shock-absorbing lanyard is inspected and is installed correctly for safe use.
An emergency rescue plan has been developed and reviewed.
Fall arrest equipment will be used around unguarded areas where a fall of 6’ or more exists.
Inspector Signature:
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