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🔩 SCAFFOLD INSPECTION
Daily Scaffold Inspection
OSHA 1926.451 & 1926.452 Compliant
Basic Information
Company *
Select Company
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Location *
Select Location
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Project Name *
Inspector Name *
Scaffold Location *
Height (ft)
Levels
Load Capacity (lbs)
Foundation & Base
Item
OK
Deficient
N/A
Base plates/mudsills adequate and secure
Scaffold level and plumb
Adequate base support on firm foundation
Screw jacks properly set and secure
Planking/Decking
Item
OK
Deficient
N/A
Planking secured and in good condition
Platform fully decked (no gaps)
No damaged, cracked, or weak planks
Proper overlap at supports (min 6")
Guardrails
Item
OK
Deficient
N/A
Top rail installed (42" ± 3")
Mid rail installed (21" from platform)
Toeboards installed (min 3.5")
Guardrails secure and undamaged
Access
Item
OK
Deficient
N/A
Proper ladder/stair access provided
Ladder secured to scaffold
Ladder extends 3 ft above platform
Stairs installed properly with handrails
Frame & Structure
Item
OK
Deficient
N/A
Frames properly connected and secured
Diagonal bracing installed
All pins, clips, and locks secured
No damaged components
Ties & Anchorage
Item
OK
Deficient
N/A
Scaffold tied to structure
Ties adequate and secure
Tie spacing compliant (26' horizontal, 30' vertical)
Overhead Protection
Item
OK
Deficient
N/A
Overhead protection required?
Overhead protection adequate if required
Platforms
Item
OK
Deficient
N/A
Platforms level
Platform width adequate (min 18")
Platforms fully planked
Safety
Item
OK
Deficient
N/A
Fall protection required (>10 ft)
Fall protection available if required
Tag system in place
Warning signs posted if needed
Load & Use
Item
OK
Deficient
N/A
Scaffold properly tagged
Load capacity posted
No overloading
Material properly stored on platform
Weather & Environment
Item
OK
Deficient
N/A
Debris removed from platforms
Ice/snow removed
Weather conditions safe for use
General Condition
Item
OK
Deficient
N/A
No unauthorized modifications
Scaffold complete and ready for use
Competent person inspected
Additional Items
Item
OK
Deficient
N/A
Outriggers used if required
Outriggers level and secure
Casters locked (mobile scaffolds)
Scaffold inside power line clearance
Electrical hazards present
Scaffold accessible by public
INSPECTION STATUS: INCOMPLETE
Based on checklist responses
Additional Notes
Submit Inspection
AnthroSafe™ Field Driven Safety
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