Jenkins Academy of Applied Technology
Scaffold type, design and work planning Scaffolds · v1.0.0 · October 22, 2026
Course developed by Todd Jerome Jenkins, MS, CSP.
Print / save as PDF Complete this worksheet using the actual workplace and current plan. A blank form or course score is not evidence that the action occurred. Record actual dates and observations. Print or save a completed copy before closing; entries are not automatically stored. Keep private health details out of this worksheet.
Employer, location, scaffold ID, type, manufacturer, configuration, task and date Applicable jurisdiction: construction Subpart L or general industry 1910.27(a); other work standards Qualified-person design and any required professional-engineer design; actual intended load and rated capacity Applicable 1926.452 type provisions: pole (a), tube/coupler (b), frame (c), plasterer/decorator/large-area (d), square (e), horse (f), form/bracket (g), roof bracket (h), outrigger (i), pump jack (j), ladder jack (k), window jack (l), crawling board (m), step/platform/trestle ladder (n), single-point (o), two-point (p), multi-point adjustable (q), catenary (r), float (s), interior hung (t), needle beam (u), multi-level suspended (v), mobile (w), repair bracket (x), stilts (y); systems scaffold general 1926.451 requirements Foundation, base plates, mud sills, plumb/braced supports, tie/anchor design and eccentric loads Platform width, gap, overhang, restraint and permitted exceptions; competent-person basis where required Approved access and material handling; workers and trades above/below Fall, falling-object, electrical and weather controls; actual rescue/emergency plan Competent person, qualified designer, selected operations crew and task limits Unresolved hazards and corrections before assignment