Hazard report form for scaffolders and scaffold users
Short answer
A scaffold hazard form identifies the scaffold, the bay and the lift, and says who changed it. It asks for the tag number, what is stored on the platform and what the ground looks like under the base plates. This page lists the fields, with a free PDF and Word template and a voice version.
What goes wrong in scaffolding
Scaffolds fail in small ways. A coupler loosened, a ledger removed to get a pallet through, a base plate sinking into soft ground. Most of those are noticed by someone who isn’t the scaffolder, so the form is built for the trade standing on it.
- Ledgers or transoms removed by another trade to get materials past
- Base plates sitting on soft or newly backfilled ground
- Gaps in decking or missing toe boards
- Bays loaded with pavers, bricks or plasterboard
- Ties taken off for cladding and not replaced
- Handover tag that is missing, old or doesn’t match the scaffold
Fields that earn their place on a scaffolding form
The scaffolder needs to find the exact bay and know what changed since handover. These fields give them that without a walk-around.
- Scaffold tag number, and the inspection date on it
- Elevation, bay and lift, counted from a stated corner
- What was altered, and which trade did it if known
- Materials or loads on the platform at the time
- Ground under the base plates: firm, soft, wet or recently backfilled
- Ties or bracing affected, with a photo
On paper and by voice
The cladders have lifted a ledger out on the third lift, east face, and propped a pallet in the gap. They’ve gone for lunch. You need the scaffolder, not the builder. You photograph the gap, say “east face, lift three, bay four, ledger out, tag shows last Tuesday”, and the report names the scaffold.
Where Haznote fits
Haznote sends the report to the site manager with the photo, the place and your voice note. The manager confirms the priority and decides who is told. It doesn’t inspect scaffolds or certify them. That stays with the people qualified to do it.
Download the form.
A free example to print or edit. It’s general information, not legal advice, and it asks for no email.
Plain answers.
Who can report a scaffold fault?
Anyone who uses it or works near it. The scaffolder gets the report, but the person who noticed it is often a different trade.
Does the form replace the handover tag?
No. The tag is the scaffolder’s record. The form is how everyone else raises a problem with it.
What if I don’t know the tag number?
Say where the scaffold is and add a photo. Someone can match it to the tag later.
Where this comes from.
This page describes how Haznote works. It makes no claims about the law, so it cites no regulator.
Report a scaffolding hazard by voice. A manager confirms it.
Run it on one site and see the first report land in the manager’s list.