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Rolling Tower Inspection Checklist Form

Workplace Inspections identify hazardous conditions and apply hazard control measures, onmitor and evaluate the effectiveness of health and safety practices and procedures and improve health and safety practices and procedures.
MaintainX
07/26/2022

Rolling Tower Inspection Checklist Form

22 steps
Workplace Inspections identify hazardous conditions and apply hazard control measures, onmitor and evaluate the effectiveness of health and safety practices and procedures and improve health and safety practices and procedures.
  • Worksite Name:

  • Worksite Location:

  • Inspected by:

  • Date:

  • Scaffold components and planking in safe condition for use and planks graded for scaffold use?

    • Pass
    • Flag
    • Fail
  • Competent person in charge of erection and inspection?

    • Pass
    • Flag
    • Fail
  • Tower level and plumb?

    • Pass
    • Flag
    • Fail
  • Tower height less than four times the minimum base width?

    • Pass
    • Flag
    • Fail
  • Casters of proper size with effective locking devices that are locked when in use?

    • Pass
    • Flag
    • Fail
  • Screw jacks extended less than 12 inches?

    • Pass
    • Flag
    • Fail
  • Casters and all frames locked together?

    • Pass
    • Flag
    • Fail
  • Guard railing in place on all open sides and ends?

    • Pass
    • Flag
    • Fail
  • Horizontal diagonal bracing been positioned properly at base and intermediate levels of 20 feet?

    • Pass
    • Flag
    • Fail
  • Material secured before moving the scaffold?

    • Pass
    • Flag
    • Fail
  • Platform fully planked and toe boards provided where necessary?

    • Pass
    • Flag
    • Fail
  • Employees removed from the scaffold before it is moved?

    • Pass
    • Flag
    • Fail
  • Scaffold free of makeshift devices or ladders to increase height?

    • Pass
    • Flag
    • Fail
  • Conditions such as power lines, wind loading, etc. controlled?

    • Pass
    • Flag
    • Fail
  • Safe ways to get on and off the scaffold without climbing on cross braces?

    • Pass
    • Flag
    • Fail
  • Personnel instructed in the safe use of the equipment?

    • Pass
    • Flag
    • Fail
  • Signature:

    Click here to sign
  • Date:

Source: MaintainX (Community Member)

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