All supported Scaffolds and Sidewalk Sheds must be inspected daily and results of the inspection logged and readily available on the jobsite at all times. Maintenance Logs minimally must include the following info:
General Information
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Permit #
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Name of Scaffold Erector:
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Installation Date:
Expiration:
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Renter Name:
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Phone #
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Shed Type: Light [ ] Med [ ] Heavy [ ] Duty
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Are Drawings on Jobsite for Inspection
Yes [ ] No [ ]
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Specific Information:
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Scaffold Height:
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Number of Platforms Decked:
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Base Plates and Mudsills Secured?
Yes [ ] No [ ]
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Are the Signs on the Parapets?
Yes [ ] No [ ]
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Are all Scaffold Pins and Bolts installed?
Yes [ ] No [ ]
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Maintenance Information
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Are Legs and Poles Plumb, Braced & Not Displaced? Yes [ ] No [ ]
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Are Cross Braces fully attached – not distorted and not missing? Yes [ ] No [ ]
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Tie –Ins correctly spaced, properly secured and the correct number required? Yes [ ] No [ ]
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Are Pipe Clamps Tight? Yes [ ] No [ ]
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Are Window Jacks Tight? Yes [ ] No [ ]
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Are all the Planks secured?
Yes [ ] No [ ]
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Are Decking and Planks in Good Condition?
Yes [ ] No [ ]
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Is the Deck Fully Planked?
Yes [ ] No [ ]
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Are there Gaps or Open Spaces on Decking?
Yes [ ] No [ ]
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Are Guardrails and Toe Boards Secured at all places as required?
Yes [ ] No [ ]
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Is the Netting Extension of full length & height?
Yes [ ] No [ ]
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Is the Netting Secured?
Yes [ ] No [ ]
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Is the parapet of proper height and secured?
Yes [ ] No [ ]
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Are the lights working properly?
Yes [ ] No [ ]
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Is the Deck clean and free of debris?
Yes [ ] No [ ]
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Name:
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Title:
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Signature:
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Date:
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