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Scaffold Inspection Register

This document is a scaffold inspection register template used to record inspections of scaffolding. It includes fields to document project details, scaffold details like type and duty rating, safe working loads for different duty ratings, and an inspection record table. Inspections are to be conducted and documented in compliance with the approved code of practice for scaffold safety in New Zealand.

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Satyadip Teraiya
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809 views1 page

Scaffold Inspection Register

This document is a scaffold inspection register template used to record inspections of scaffolding. It includes fields to document project details, scaffold details like type and duty rating, safe working loads for different duty ratings, and an inspection record table. Inspections are to be conducted and documented in compliance with the approved code of practice for scaffold safety in New Zealand.

Uploaded by

Satyadip Teraiya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Scaffold Inspection Register Form: This form is used for registering scaffold inspections, including details about the project, type of scaffold, inspection criteria, and responsible personnel.

[Link]

com/safety-applications/forms/

SCAFFOLD INSPECTION REGISTER


PROJECT: LOCATION: SCAFFOLD NO.:

DEPT./CONTRACTOR CONTACT PERSON/NO.:

SCAFFOLDING CONTRACTOR: CONTACT PERSON/NO.:

SCAFFOLDER: CERT. No.:

Register in compliance with the Approve Code of Practice for Scaffold, under Section 20 of the Health and Safety in Employment
Act 1992; for each standing scaffold over 5m high.
1. TYPE OF SCAFFOLD: ( ) TUBE & COUPLER ( ) PREFABRICATED ( ) PROPRIETARY ( ) TIMBER
2. DUTY : ( ) LIGHT ( ) MEDIUM ( ) HEAVY ( ) SPECIAL
3. SAFE LIVE LOAD OF__________ KG. PER PLATFORM

Light Duty : 225kg per work platform contained with each scaffold bay( including a single point load of 100kg)
Medium Duty : 450kg per work platform contained with each scaffold bay( including a single point load of 150kg)
Heavy Duty : 675kg per work platform contained with each scaffold bay( including a single point load of 200kg)
Special Duty : SWL as specified by the design.

Maximum number of working platforms per bay which may be used on metal tubular or framed scaffolding are per table below:
MAXIMUM HEIGHT OF MAXIMUM NUMBER OF WORKING PLATFORM MAY BE USED IN ANY BAY
SCAFFOLD LIGHT DUTY MEDIUM DUTY HEAVY DUTY SPECIAL DUTY
Up to 13.5m 4 2 2 As specified in the design
Up to 33m 2 1 1
INSPECTION RECORD:
LOCATION OF SCAFFOLD ON SITE:

LENGTH: (in meters) NUMBER OF BAYS: HEIGHT:(in meters) NUMBER OF LIFTS:

LIMITATIONS:

COMMENTS:

DATE TIME INSPECTOR SIGNATURE COMMENTS

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