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SCAFFOLD INSPECTION REPORT

PTTEP.
BONGKOT FIELD. REF.NO.
GULF OF THAILAND.

LOCATION : CONTRACTOR :

WORK PERMIT NO. WORK COMMENCE DATE : FOREMAN :

STRUCTURE TYPE :
LIGHT DUTY GENERAL DUTY HEAVY DUTY SPECIAL DUTY
2
( 0.75 kN/M 2) ( 2.00 kN/M 2 ) ( 2.50 kN/M )

OTHER (SPECIFY) :

DESCRIPTION :
INDEPENDENT BIRD CAGE MOBILE TOWER
DROP (HANGER) CANTILEVER TRUSS-OUT SPUR
OTHER (SPECIFY) :

DATE RESULT & COMMENT INSPECTOR NAME


XXX

NOTE : LADDER NO. RUNGS :


NO. OF STANDARDS :
NO. OF LIFTS :
M 2 BOARDING :

DATE MODIFIED : DATE DISMANTLED :

NEXT REFERENCE NUMBER :

CONTINUE FROM REF. NUMBER :


SCAFFOLDING INSPECTION CHECKLIST
SCAFFTAG COR. INC. N/A BOARDINGS(1 1/2" THICK) COR. INC. N/A
1. In place. 1. Boards overhang between 2"- 6".
2. Near access. 2. Sufficient support (4 ft. MAX.).
3. Green insert filled in. 3. If notched, fit extra transoms.
4. Yellow insert up-to-date. 4. Boards tied down both ends.
MATERIAL COR. INC. N/A 5. No board missing ( fully boarded ).
1. Within the standard. 6. No defective or damaged boards.
2. Good condition. GUARD RAILS AND TOE BOARDS. COR. INC. N/A
3. Correctly used. 1. Correct height.
FOOTINGS COR. INC. N/A 2. Secured.
1. Firm and level. 3. Correctly hand railed and toeboarded.
2. Sole boards fitted. 4. None missing.
3. Base plates fitted. 5. Fixed inside standards.
4. Clear of excavation /hatch. BRACINGS. COR. INC. N/A
5. Foot ties fitted. 1. None missing.
6. Wheels /Brakes locked on. 2. Secured.
7. Base dimensions not less than required. 3. Correct fittings.
STANDARDS COR. INC. N/A 4. Not more than 1 ft. from node points.
1. Must be plumb. 5. Correct angle.
2. Joints staggered. 6. Braces fitted opposed to each other.
3. Joints to be sleeved. LADDERS COR. INC. N/A
4. Correct spacing. 1. On a firm base.
5. Hard down on the baseplates. 2. Sufficient length (3' 6" Above platform).
LEDGERS COR. INC. N/A 3. If too short, hand-hold required.
1. Level . 4. At 75 degrees (1 out for every 4 up).
2. Joints staggered. HANGERS COR. INC. N/A
3. Correct spacing. 1. Not suspended from pipe or cable tray.
4. Correct lift height ( 6' 6" ). 2. Not more than 1 ft. from supporting point.
5. Fixed to standard with correct fittings. 3. Must be plumb.
FITTINGS COR. INC. N/A 4. Check fittings are fitted.
1. Correct types. 5. Joints must be sleeved & spliced.
2. Lubricated. 6. Correct distance.
3. Beam clamps must be used in pairs. TRANSOMS COR. INC. N/A
TIES COR. INC. N/A 1. Correct spaced.
1. None missing. 2. Correct fittings are used.
2. Every other lift ( 13 ft. ). 3. Not more than 1 ft. from stadards.
3. Every other stadard ( 18 ft. ). 4. Doubled transoms, if required.
4. Secured. MOBILE SCAFFOLDS COR. INC. N/A
1. Not higher than 3 times the shortest base.
FURTHER COMMENT : TOWER SCAFFOLDS COR. INC. N/A
1. Not higher than 3.5 times the shortest base.

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