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STEP
POTENTIAL HAZARDS
RISK
RATIN
G
CONTROLS
ACTION
PARTY
SET UP
2. Lacerations on hands
Person
Person
Person
Person
4. Struck by mechanized
equipment
Person
5. Loss of load
Site
Supervis
or
& Safety
Supervis
or
balanced, etc.
5.3 Keep hands, fingers, or other body parts
away from
pinch points.
Person
Person
7. Electrical shock
Person
Person
Person
2. Scaffold failure
Site
Supervis
or
& Safety
Supervis
or
Person
Person
3. Back Strain
4. Lacerations on hands
M
ASSEMBLY
OF
SCAFFOLDIN
G
(DIAGRAM)
Person
1. Scaffold failure
Site
Supervis
or
& Safety
Supervis
or
USE OF
SCAFFOLDIN
G
Person
Person
Site
Supervis
or
& Safety
Supervis
or
Person
1. Fall from elevated heights
DISASSEMBL
ING
OF
SCAFFOLDIN
G
Site
Supervis
or
& Safety
Supervis
or
The scaffold checklist is not all inclusive of the safety requirements for the assembly, use, and disassembly of
scaffolding. Competent person onsite for work platform safety shall review OSHA 1994, FMA 1967, contract
specifications, manufacture specifications, etc. as additional guidance or information for work platform safety.