scaffold - government of jersey in... · 2018-06-13 · scaffold inspection record 3. purpose for...

19
SCAFFOLD Inspection Records Health and Safety at Work (Jersey) Law 1989 Management in Construction (Jersey) Regulations 2016

Upload: others

Post on 08-May-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

SCAFFOLDInspection Records

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 2: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record

3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified

5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Scaffold Inspection Records

The inspection of scaffolds is one of many legal requirements relating to construction in the Management in Construction (Jersey) Regulations 2016. Detailed information on the requirements of the Regulations is contained in the guidance, available from the Health and Safety at Work Inspectorate. The guidance may also be viewed online and downloaded from the States of Jersey website: www.gov.je/hsi

Inspection of scaffolds

Every scaffold from which a person could fall 2 metres or more must be inspected by a competent person at least once in every 7 days in which it continues to be used.

A competent person must also inspect every scaffold before it is used if it has been exposed to adverse weather conditions or any other factor which may have affected its safety such as vandalism or if the scaffold has been struck by plant on site.

A written record of the regular inspections specified above must be completed by the relevant competent person. These records must include the information specified in Regulation 31 of the Management in Construction (Jersey) Regulations 2016.

This publication provides forms in a suggested format for such a record.

Thorough examination of scaffolds

Every scaffold from which a person could fall 2 metres or more must also be thoroughly examined by a competent person before it is brought into use, and after it has been substantially altered or erected. This thorough examination, which must be recorded in writing, will usually be carried out by the scaffolding contractor who erected the scaffold at the time of handover.

Completing the scaffold inspection record

The record of inspection must be completed to include certain information:

• name and address of the relevant contractor of the relevant construction work • address of the construction site • purpose for which the scaffold is erected • description of the scaffold and its location on site • date and time of the inspection • details of any defects identified • action taken as a result of the defects identified • name, signature and contact number of the competent person who carried out the inspection

A separate record should be completed for each scaffold that is inspected.

Inspections are required to be carried out of scaffolds from which a person could fall 2 metres or more, in accordance with Regulation 27 of the Management in Construction (Jersey) Regulations 2016.

Page 3: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 4: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 5: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 6: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 7: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 8: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 9: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 10: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 11: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 12: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 13: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 14: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 15: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 16: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 17: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record Scaffold Inspection Record

3. Purpose for which the scaffold is erected 3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site 4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above 9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified 6. Details of any defects identified

5. Date and time of inspection 5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address 1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Page 18: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

Scaffold Inspection Record

3. Purpose for which the scaffold is erected

4. Description of the scaffold and its location on site

9. Details of any action taken as a result of defects identified in 6. above

6. Details of any defects identified

5. Date and time of inspection

1. Name and address of the relevant contractor for whom inspection was carried out

2. Construction site address

Reason for inspection (tick one)

Weekly inspection Following conditions liable to affect safe use

8. If ‘No’, name of the person informed (from the relevant contractor)

7. Can the scaffold continue to be used safely?

Yes No

11. Contact number10. Competent person inspecting

Sign

Print name

Health and Safety at Work (Jersey) Law 1989

Management in Construction (Jersey) Regulations 2016

Health and Safety at Work Inspectorate

Telephone: 01534 447300 Email: [email protected] Website: www.gov.je/hsi

Jersey Safety Council

Email: [email protected] Website: www.jsc.je

AcknowledgementPublication sponsored by Jersey Safety Council

Contacts

Page 19: SCAFFOLD - Government of Jersey in... · 2018-06-13 · Scaffold Inspection Record 3. Purpose for which the scaffold is erected 4. Description of the scaffold and its location on

aead

esign.com - 0

153

4 2

80

88

8