Reliance Retail Limited-EPC
Scaffolding Safety Checklist
Site Name: Date:
Vendor: Scaffold No:
S. No. Descriptions Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Remarks
Is the scaffold being erected under the direction of a competent
1
person?
Have all components been inspected for defects such as broken
2 welds, corroded members, and missing locks, bent or dented
tubes?
Is the footing sound and rigid - not set on soft ground, frozen
3
ground (that could melt), or resting on blocks?
4 Is the scaffold able to hold four times its maximum intended load?
Are the base plates (100 x 100 x 3 mm) provided for scaffolding
5
posts?
Are the base plates are supported by sole plate (300 x 300 x 6 mm)
6
at unpaved area?
Is kicker lift (at distance 150 mm from ground/base) provided for
7
scaffold of height more than 6.0 meter?
Is every work platform fitted with handrail (top rail 1000 mm
8 and mid rail at 500 mm high) and a toe board (150 mm)
secured to the platform sides?
9 Are the scaffolding in plumb and level?
Are the poles, legs or uprights of scaffolding are securely braced to
10
prevent swaying / displacement?
Are all braces, bearer, and clamps secured all sections pinned or
11
RR/EPC/HSE/C0013 Date: 05.07.2024 Ver. No: 1.04
appropriately secured?
Have fully boarded platform provided & all gratings been properly
12
secured to the scaffold structure?
13 Does the scaffold have a height to base ratio of at least 4:1?
Has the scaffolding area suitably barricaded during erection /
usage / dismantling? As far as practicable, barricades shall be
14
provided by keeping a clear distance of 1.0 meter from scaffold
structure.
Is there a safe and convenient means of access? If a ladder is
15
used, is it rising at least 1 meter above the platform?
Are landing platforms provided for access ladders more than 9
16
meters height?
Are scaffolding anchored with permanent structure at every 6
17
meters horizontally and 4 meters vertically?
If two pipes are connected, are they overlapped at least 600 mm
18
and at least two clamps used?
19 Are tagging available (Red/Green) on to scaffold?
Contractor’s Engineer/Sup.
Inspected By (Signature)
EIC
Date
RR/EPC/HSE/C0013 Date: 05.07.2024 Ver. No: 1.04