Section 1: General Considerations
1. 1. Is the equipment damaged?
Yes
No
N/A
2. 2. Is the equipment overloaded?
Yes
No
N/A
3. 3. Is the equipment altered in any way?
Yes
No
N/A
4. 4. Is the equipment not used for any purposes or in ways other than for what it was intended?
Yes
No
N/A
5. 5. Is communication with workers on the platform available?
Yes
No
N/A
6. 6. Does a competent person qualified in the use of suspended scaffolds supervise all the suspended scaffold systems that must be erected, altered, and dismantled?
Yes
No
N/A
7. 7. Are unattended platforms secured, and is power disconnected to prevent unauthorized use?
Yes
No
N/A
8. 8. Are all required labels present and clearly legible?
Yes
No
N/A
9. 9. Is all connection hardware in good working condition with properly installed locking devices?
Yes
No
N/A
Section 2: Rigging Equipment
1. 1. Is the structure able to support the loads imposed by the rigging equipment?
Yes
No
N/A
2. 2. Is the rigging equipment properly designed for the application and has it been correctly assembled and installed as per the manufacturer’s instructions?
Yes
No
N/A
3. 3. Are additional safety precautions taken when welding from a suspended scaffold?
Yes
No
N/A
4. 4. Is all temporary rigging equipment properly tied back to a structurally sound anchorage?
Yes
No
N/A
5. 5. Are davits, sockets, or other permanent equipment erected and installed correctly, and are inspections current?
Yes
No
N/A
6. 6. When using counterweighted outrigger beams, does the number of counterweights match the outreach and hoist-rated load capacity per the counterweight formula?
Yes
No
N/A
7. 7. Do test anchorage supports used in lieu of counterweights support all applied loads?
Yes
No
N/A
8. 8. Are all welds in good condition?
Yes
No
N/A
9. 9. Are all components undamaged and in good working condition, with mounting holes free from deformation and/or cracks?
Yes
No
N/A
10. 10. Do steel parts lack penetrating rust?
Yes
No
N/A
Section 3: Suspended Platform
1. 1. Is the platform properly designed for the application and has it been correctly assembled per the manufacturer’s instructions or design drawings?
Yes
No
N/A
2. 2. Are the platform stirrups in line with the rigging equipment?
Yes
No
N/A
3. 3. Does the live load not exceed the platform-rated load capacity?
Yes
No
N/A
4. 4. Are all visible welds in good condition and not visibly cracked, torn, or excessively corroded?
Yes
No
N/A
5. 5. Are all components in good order, with no missing, bent, or damaged parts?
Yes
No
N/A
6. 6. Are all mounting holes free from deformation?
Yes
No
N/A
7. 7. Is the hardware grade 5 or better and in good condition, with lock nuts not worn?
Yes
No
N/A
8. 8. Are the stirrup sheaves, bearings, and inlet wire rope guides in good condition?
Yes
No
N/A
9. 9. Is the wire rope properly reeved through the sheaves?
Yes
No
N/A
10. 10. Is the deck free from excessive debris that could cause a slipping hazard or affect the load capacity and/or proper functioning/installation of the component(s)?
Yes
No
N/A
11. 11. Is the platform free from chemical corrosion and excessive abrasion damage?
Yes
No
N/A
12. 12. When working near live power lines, is a safe distance maintained, with a minimum clearance of 10 feet required between scaffold equipment and power lines, and has the local power company been contacted regarding hazards?
Yes
No
N/A
13. 13. Are weather conditions acceptable for the safe use of the platform, with wind speeds not exceeding 25 mph for a multi-point suspended platform or 20 mph for a single-point work cage or bosun’s chair?
Yes
No
N/A
Section 4: Hoists, Wire Rope, And Power
1. 1. Are the hoists properly selected for the application and have they been correctly installed as per the manufacturer’s instructions?
Yes
No
N/A
2. 2. Have the manufacturer’s operating instructions been read, and understood, and are they available for reference?
Yes
No
N/A
3. 3. Have the daily tests been performed according to the hoist operating manual?
Yes
No
N/A
4. 4. Are the hoists in proper working order?
Yes
No
N/A
5. 5. Are the electric cable and/or air hose connections secured, inspected, and safe for use?
Yes
No
N/A
6. 6. Is the power supply adequate for the number and type of hoists being used?
Yes
No
N/A
7. 7. Has the wire rope been inspected and is it in good working condition?
Yes
No
N/A
8. 8. Is the length of the wire rope appropriate for the specific job and is it properly attached to the support equipment, with all fittings checked under load?
Yes
No
N/A
9. 9. Are strain reliefs present and connected?
Yes
No
N/A
10. 10. Do the emergency stop and secondary brakes operate correctly?
Yes
No
N/A
11. 12. Is controlled descent tested and working properly?
Yes
No
N/A
Section 5: Fall Protection System
1. 1. Do workers use proper fall arrest equipment at all times?
Yes
No
N/A
2. 2. Has each vertical lifeline been inspected for safe use and is it correctly installed with edge protection to an independent anchor point capable of holding a 5,000-pound ultimate load?
Yes
No
N/A
3. 3. Is each rope grab correctly installed and operating properly, with the size compatible with the lifeline?
Yes
No
N/A
4. 4. Is each full-body harness properly inspected and adjusted?
Yes
No
N/A
5. 5. Is each shock-absorbing lanyard inspected and installed correctly for safe use?
Yes
No
N/A
6. 6. Has an emergency rescue plan been developed and reviewed?
Yes
No
N/A
7. 7. Will fall arrest equipment be used around unguarded areas where a fall of 6 feet or more exists?
Yes
No
N/A