Tower Access Scaffolding Inspection Checklist
Use this form to record a tower access scaffolding inspection, checklist findings, defects, corrective actions, and follow-up details.
Inspection Details
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Site / Project Name
*
Exact Location or Area Inspected
*
Scaffold / Tower ID or Reference Number
*
Scaffold / Tower Setup Information
Scaffold / Tower Type
*
Mobile Tower
Fixed Tower
Stair Tower
Access Scaffold
Other
Number of Lifts / Levels
*
Approximate Height
Purpose / Use of Scaffold or Tower
Inspection Checklist
Base stability
*
Rows
Pass
Fail
Not applicable
Base stability
1
2
3
Foundation / supports
*
Rows
Pass
Fail
Not applicable
Foundation / supports
4
5
6
Bracing
*
Rows
Pass
Fail
Not applicable
Bracing
7
8
9
Platforms / decks
*
Rows
Pass
Fail
Not applicable
Platforms / decks
10
11
12
Guardrails
*
Rows
Pass
Fail
Not applicable
Guardrails
13
14
15
Toe boards
*
Rows
Pass
Fail
Not applicable
Toe boards
16
17
18
Access ladder / stair condition
*
Rows
Pass
Fail
Not applicable
Access ladder / stair condition
19
20
21
Ties / anchors
*
Rows
Pass
Fail
Not applicable
Ties / anchors
22
23
24
Locking wheels / casters
*
Rows
Pass
Fail
Not applicable
Locking wheels / casters
25
26
27
Debris / housekeeping
*
Rows
Pass
Fail
Not applicable
Debris / housekeeping
28
29
30
Load condition / overloading signs
*
Rows
Pass
Fail
Not applicable
Load condition / overloading signs
31
32
33
Signs of damage / corrosion
*
Rows
Pass
Fail
Not applicable
Signs of damage / corrosion
34
35
36
Defects, Hazards, and Corrective Actions
Defects or hazards found
Severity / priority
*
Low
Medium
High
Critical
Immediate action taken
Responsible person
Target completion date
 -
Month
 -
Day
Year
Date
Overall inspection result
*
Pass
Pass with defects
Fail
Reinspection required
Follow-up and Sign-off
Reinspection required?
*
Yes
No
Reinspection date
 -
Month
 -
Day
Year
Date
Inspector signature
*
Additional remarks
Submit Inspection
Submit Inspection
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