Scaffold Safe Access Compliance Checklist Form
Scaffold Safe Access Compliance Checklist
Scaffold Access Location
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Scaffold Identifier
*
Access Method
*
Please Select
Stair Tower
Ladder
Ramp
Scaffold Platform
Other
Compliance Items Checklist
*
Access points clear and unobstructed
Guardrails and toeboards in place
Ladders/stairs secured and in good condition
Scaffold platform fully planked
Fall protection provided where required
No visible damage or defects
Access route free from slip/trip hazards
Proper signage in place
Issues Found (if any)
Corrective Actions Taken
Is Reinspection Needed?
*
Yes
No
Overall Compliance Status
*
Compliant
Non-Compliant
Partially Compliant
Submit Checklist
Should be Empty: