Suspended Scaffold Pre-Shift Inspection

Suspended Scaffold
Pre-Shift Inspection Log

NYC BC §3317 · BC §3317.8.6 · OSHA 29 CFR 1926.502 · Licensed Rigger Required On-Site

PL-003

Project Address
General Contractor		DOB Job No.
SSM Name		SSM License No.
Licensed Rigger Name		Rigger License No.
Scaffold Contractor		Scaffold Tag / ID No.
Approved Drawing No.		Date / Shift
Work Location / Floors

Documents & Authorization — BC §3317 / BC §3317.8.6		YES	NO	N/A
1	DOB-approved suspended scaffold drawings on site and reviewed prior to operation
2	Scaffold tagged with current DOB approval number and last inspection date
3	Licensed Rigger is physically present on site for all suspended scaffold operations
4	All workers hold a valid 16-hour suspended scaffold training card (SST or equivalent)
5	DOB notification submitted if required for this scaffold operation

Suspension System — BC §3317.4 / OSHA 1926.502		YES	NO	N/A
6	Counterweights are of the type and weight specified on approved drawings — no improvised or substituted ballast
7	Outrigger beams properly positioned, secured, and bearing on structural support
8	All wire ropes examined — free of kinking, broken wires, corrosion, and rope distortion
9	Wire rope properly spooled on drum; minimum three (3) wraps retained at all times
10	All rope terminations (wedge sockets, clips) secure and installed correctly
11	Hoisting machines in good condition; brakes tested — no slippage
12	Scaffold platform rated for planned work load; maximum capacity posted on platform

Platform & Guardrails — BC §3317.6 / OSHA 1926.502(b)		YES	NO	N/A
13	Platform deck complete with no gaps greater than 1 inch between planks — no planks absent or displaced
14	Guardrail system on all open platform sides: top rail at 42 inches, mid-rail at 21 inches, and 4-inch toe board
15	Platform surface maintained within 3° of level and structurally stable — no undue sway or oscillation under load
16	Overhead protection in place where required (falling object hazard above)

Fall Protection & Communications — OSHA 1926.502(d)		YES	NO	N/A
17	Personal lifeline(s) attached to structural anchor rated at not less than 5,000 lb. per worker — independent of scaffold suspension
18	All workers wearing full-body harness with shock-absorbing lanyard connected to lifeline
19	100% continuous fall protection maintained during all anchor transfers — two lanyards used to maintain connection at all times
20	Two-way radio communication confirmed between scaffold platform and ground signal person
21	Wind conditions verified before and during operations — scaffold work halted when sustained wind speed exceeds 25 mph
22	Exclusion zone established below scaffold; no work or personnel in fall zone

Deficiencies Found & Corrective Actions Taken

Inspected By (print)		Title / License #
Signature		Date & Time

SSM Review (print)		License No.
SSM Signature		Date