MOBILE SCAFFOLD CHECK LIST
Equipment
Project
No.
Vendor Date
DESCRIPTION
SN Day D-1 D-2 D-3 D-4 D-5 D-6 D-7
(Tick if item is acceptable, cross if it is not)
1 Is the mobile scaffold tower erected using sound materials?
Is the mobile scaffold erected by trained/ experienced
2
person?
3 Is area clear from obstacles?
4 Is scaffold build on a hard firm surface?
5 Is scaffold secured to structure (tied)?
Is mobile scaffold fitted with handrails mid rails and toe
6
boards?
7 Is access and egress provided to all working platforms?
8 Are all ladders and stair access internally fitted with?
9 Are wheel locks in place and locked when in use?
Are additional supports used, when required, for increased
10
stability?
11 Is tag system (either safe or unsafe) displayed?
Are adequate barricades Provided during erection, alteration
12
or dismantling of scaffold?
Are adequate warning/Sign board provided (Work in process,
13
erection area etc.?
Checked by operator/supervisor
Checked by contractor Safety
Checked by CG Safety
Form No.: CG-ORG-SFT-C-07-00 Mobile Scaffold