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Mobile Scaffold Inspection Sheet

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Pass   Fail Pass   Fail Pass   Fail Pass   Fail Pass   Fail Pass   Fail Pass   Fail
No visible defects on scaffold componets
All components from same manufacture
Safe plan for construction
Guard rails installed at any height
Outriggers installed at 4' or greater
Platform inspected for defects
Guard rails inspected for defects
Wheels inspected for defects
Wheels locked when in use
All pins and locking components installed
Area clear/clean from debris
Working from level surface
Overall Assessment :
Inspector Initials :
Note : If inspection fails any of the following topics get with foreman immediately.