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Cook Inlet Offshore
Nikiski Onshore
Anchorage
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🔩 SCAFFOLD INSPECTION
Daily Scaffold Inspection
OSHA 1926.451 & 1926.452 Compliant
Basic Information
Company *
Select Company
Customer TBD
HEX Energy
Other
Location *
Select Location
Anchorage Office
Allegra Leigh (formerly Julius R)
Spartan 151 jack-up (drilling season)
KLU subsea gathering line
Nikiski Onshore Production Facility
Marine and air transport
Other
Project Name *
Inspector Name *
Scaffold Location *
Height (ft)
Levels
Load Capacity (lbs)
Foundation & Base
Item
OK
Deficient
N/A
Base plates/mudsills adequate and secure
Scaffold level and plumb
Adequate base support on firm foundation
Screw jacks properly set and secure
Planking/Decking
Item
OK
Deficient
N/A
Planking secured and in good condition
Platform fully decked (no gaps)
No damaged, cracked, or weak planks
Proper overlap at supports (min 6")
Guardrails
Item
OK
Deficient
N/A
Top rail installed (42" ± 3")
Mid rail installed (21" from platform)
Toeboards installed (min 3.5")
Guardrails secure and undamaged
Access
Item
OK
Deficient
N/A
Proper ladder/stair access provided
Ladder secured to scaffold
Ladder extends 3 ft above platform
Stairs installed properly with handrails
Frame & Structure
Item
OK
Deficient
N/A
Frames properly connected and secured
Diagonal bracing installed
All pins, clips, and locks secured
No damaged components
Ties & Anchorage
Item
OK
Deficient
N/A
Scaffold tied to structure
Ties adequate and secure
Tie spacing compliant (26' horizontal, 30' vertical)
Overhead Protection
Item
OK
Deficient
N/A
Overhead protection required?
Overhead protection adequate if required
Platforms
Item
OK
Deficient
N/A
Platforms level
Platform width adequate (min 18")
Platforms fully planked
Safety
Item
OK
Deficient
N/A
Fall protection required (>10 ft)
Fall protection available if required
Tag system in place
Warning signs posted if needed
Load & Use
Item
OK
Deficient
N/A
Scaffold properly tagged
Load capacity posted
No overloading
Material properly stored on platform
Weather & Environment
Item
OK
Deficient
N/A
Debris removed from platforms
Ice/snow removed
Weather conditions safe for use
General Condition
Item
OK
Deficient
N/A
No unauthorized modifications
Scaffold complete and ready for use
Competent person inspected
Additional Items
Item
OK
Deficient
N/A
Outriggers used if required
Outriggers level and secure
Casters locked (mobile scaffolds)
Scaffold inside power line clearance
Electrical hazards present
Scaffold accessible by public
INSPECTION STATUS: INCOMPLETE
Based on checklist responses
Additional Notes
Submit Inspection
AnthroSafe™ Field Driven Safety
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