Daily Sidewalk Shed & Scaffold Inspection Log

NYC DOB COMPLIANCE

Project Address

Date

Supported scaffolds and sidewalk sheds must be inspected daily and the results recorded in a maintenance log, readily available on-site at all times. Per NYC DOB requirements, this log must be completed at minimum once per working day.

General Information	Permit #
Name of Scaffold Erector / Installer	Installation Date	Permit Expiration Date
Renter / Responsible Party Name	Contact Phone #
Shed Type Light Duty Medium Duty Heavy Duty	Approved drawings on site and available for inspection? Y N N/A
Specific Information
Number of platforms docked Y N N/A	Base plates and mudsills are secured Y N N/A
Required signs are posted on parapets Y N N/A	Scaffold pins and bolts are fully installed Y N N/A
Maintenance Inspection
Cross braces are fully attached, not bent, and none are missing Y N N/A	Legs and poles are plumb, properly braced, and not displaced Y N N/A
Tie-ins are correctly spaced, properly secured, and sufficient in quantity Y N N/A	Pipe clamps are tight and secure Y N N/A
Window jacks are tight and properly installed Y N N/A	All planks are secured and properly fastened Y N N/A
Decking and planks are in good condition with no defects Y N N/A	Deck is fully planked with no gaps or open spaces Y N N/A
Guardrails and toe boards are secured at all required locations Y N N/A	Safety netting is extended to full required length and height Y N N/A
Safety netting is properly secured Y N N/A	Parapet is at the proper height and secured Y N N/A
Lighting is operational and working Y N N/A	Deck is clean and free of debris and tripping hazards Y N N/A
Deficiencies, Observations & Corrective Actions

Inspector Name (Print)	Signature		Date