Daily Scaffold Inspection - Tube & Coupler Staircase (Roof Access)

Daily Scaffold Inspection - Tube & Coupler Staircase (Roof Access)
Project
Location of Scaffold
Date

MonthDayYear
Date
Please use 24-hour time
Inspector Name

First NameLast Name
Competent Person (if different)

First NameLast Name
Inspection Criteria
Base plates installed and properly seated on mud sills
Comments/Corrective Action
Ground level and stable; no settlement observed
Comments/Corrective Action
Vertical standards plumb and properly braced
Comments/Corrective Action
Tube and coupler connections tight and secure
Comments/Corrective Action
Staircase properly installed and secured
Comments/Corrective Action
Guardrails installed and secure
Comments/Corrective Action
Midrails installed and secure
Comments/Corrective Action
Toe boards installed where required
Comments/Corrective Action
Decking fully planked and properly secured (mechanical/wired)
Comments/Corrective Action
Decking free of ice, snow, mud, oil, debris
Comments/Corrective Action
Access stair clear and unobstructed
Comments/Corrective Action
No unauthorized modifications observed
Comments/Corrective Action
Scaffold tag present and current (Green/Yellow/Red)
Comments/Corrective Action
No visible component damage (bent, cracked, corroded)
Comments/Corrective Action
Egress path from roof unobstructed
Comments/Corrective Action
End-of-Day Foreman Certification
Were there any injuries occurred related to scaffold use today. ("no" means a day of safe scaffold use)
All corrective actions identified above were addressed or documented.
Scaffold secured against weather and unauthorized access.
No modifications were made without competent person approval. Replacement of wire securement, bolts, etc. authorized.
Foreman Name

First NameLast Name
Signature
Date

MonthDayYear
Date
Should be Empty:

Daily Scaffold Inspection - Tube & Coupler Staircase (Roof Access)

Inspection Criteria

End-of-Day Foreman Certification