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CHECKLIST- mobile scaff

The document is an inspection checklist for mobile scaffolds, detailing general information, equipment specifications, and safety standards in accordance with various BS EN reference standards. It includes sections for inspection results, equipment details, and specific criteria to assess the condition of the scaffold, ladder, stabilizers, and guardrail system. The checklist aims to ensure compliance with safety regulations and identify any findings or critical issues during the inspection process.

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0% found this document useful (0 votes)
2 views3 pages

CHECKLIST- mobile scaff

The document is an inspection checklist for mobile scaffolds, detailing general information, equipment specifications, and safety standards in accordance with various BS EN reference standards. It includes sections for inspection results, equipment details, and specific criteria to assess the condition of the scaffold, ladder, stabilizers, and guardrail system. The checklist aims to ensure compliance with safety regulations and identify any findings or critical issues during the inspection process.

Uploaded by

sharafbsr
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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INSPECTION CHECKLIST OF MOBILE SCAFFOLD

WorkOrder
No.:

GENERAL INFORMATION
Name of the Company:

Time Sheet No.:


Type of Inspection:

BS EN 12811-1:2003, BS EN
Date of Inspection: 12811-2:2004, BS EN Reference Standard:
12811-3:2002
ASC-IP-FSCAF-01
Date of Expiry: Procedure No.:

Location:
Testing Equipment details:

Result Of Inspection: Previous inspection details:

EQUIPMENT DETAILS

Description:

Distance between two


Platform: Length:
Outrigger: Width:

Thickness of Tubes: Total Height:

No. of Platform:
Outside Dia. Of Tube:
Out Rigger
Width of board:
SWL: Type of Ladder:
(Stairway/Vertical/Incline)

Inspected by:

Page 1 of 3

REF NO# ASC-CHK-MSCAF-02 Rev 00 Issue Date: 02.05.2024


Eng.:_______________

Inspection Engineer

Continuation of Work Order No.:


INSPECTION CHECKLIST
Status Status: S- Satisfactory, F- Findings, CF-Critical Findings, NA-not Applicable, NA*- Not Available
Manufacturer user manual 1
Maintenance record 2
Previous Inspection Certificate 3
FOUNDATION AND STRUCTURE:
Scaffold Installation or placing condition
(Installed area away from excavation,
restriction, electrical cables and Safe distance
from power lines, ground condition etc.)
Caster wheel condition ( shall be puncherless & not accidently detached )
Caster wheel brakes with a minimum horizontal
force of 0,30 kN & minimum capacity shall be
three times the service load per castor wheel
Adjustable leg condition
Master Rung condition
Connecting pins between standard locked
Free from bent, damage, deformation,
corrosions
Toe boards (Fixed at all side of the platforms)
All ledgers used uniform / no mixing
Transoms conditions
Platform maximum difference in levels (between adjacent loaded and unloaded platform components shall not
exceed 25 mm)
LADDER
Access opening dimensions (0.40 mx0.60m)
Safe Access Ladder Installed
Ladder Secure means condition
Inclination of ladder
STABILIZERS
Condition of Out triggers/stabilizer
Condition of Ballast (if any)
GUARDRAILL SYSTEM
Guard rail top rail fixed not more than 1 m or 950 mm minimum from the
platform board level
Mid rails not less than 470 mm from toe board not more than 500 mm

Time Line FINDINGS SECTION Time Line CRITICAL FINDINGS SECTION

ACCUVER SAFETY CONSULTANCY


PO.BOX: 56942, Warehouse No: C-44, Al Qusais Ind. Area-01, Dubai, UAE +971 4 8812664
Page 2 of 3
REF NO# ASC-CHK-MSCAF-02 Rev 00 Issue Date: 02 .05.2024
Page 3 of 3

REF NO# ASC-CHK-MSCAF-02 Rev 00 Issue Date: 02.05.2024

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