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Scaffold Inspection Form - pboa.com

Scaffold REVIEWI nspector: _____Date: _____Project Name or No.: _____Building Number: _____Place an "X" in the appropriate actions needed- Scaffold Inspection -YESNON/Ato correct any inspected daily by competent person before useGuardrails and toeboards in place over ten feet in heightGuardrails in place on all open sides @ 38 inches Safe access to all scaffolds provided, such as LaddersMinimum of two planks laid side by side, 20" widthPlanking extends 6" and no more than 12" over supports Scaffold on firm footing, plumb, square & levelSide brackets (outriggers) are fully planked?

SCAFFOLD REVIEW Inspector: _____ Date: _____ Project Name or No.: _____ Building Number: _____

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