Saudi Aramco 9613 (10/01) Front Scaffold Location / Description SECTION A: FOR SCAFFOLDS OVER 12.2 m (40 ft) TALL, CHECK TO INDICATE IF IN SCAFFOLD PLAN: Scope of Work 1a Brief description of work to be performed from the scaffold 1b Duration of work 1c Exact location where the scaffold will be erected Scaffold Drawings 2a Height of scaffold shown 2b Length and width of scaffold at base shown 2c Type of scaffold (tube & coupler, fabricated tubular frame, system, etc.) noted 2d Light-duty, Medium-duty, or Special-duty load rating noted and used for design of scaffold 2e Maximum intended load (personnel, equipment, tools, and materials) per working level noted 2f Total number of planked/platformed levels noted 2g Maximum number of working levels noted 2h Tubing size (diameter, wall thickness) and material specification (including yield stress) noted 2i Platform units type, size, and material specified 2j Drawings adequately show complete construction information and details for the scaffold: 2k Posts, bearers, runners, horizontal (plan) and vertical bracing, etc. 2l Attachments or ties to buildings or structures / guy wires and their anchors 2m Ladders or other access to all working levels 2n Guardrail systems locations, dimensions, and toprail, midrail and toeboard sizes 2o Base support details, including base plates and sills 2p Drawn to scale on at least A3 size paper and scale noted on drawings 2q Scaffold fully and properly dimensioned 2r Plan views show complete layout of all horizontal members (bearers, runners, horizontal bracing, etc.) 2s Elevation views show complete layout of all vertical members (posts, braces, etc.) 2t All potential obstructions and interferences (piping, cable trays, platforms, etc.) shown and cleared 2u All areas to remain free of scaffold obstructions shown (roads, corridors, etc.) 2v If stairs are used, adequate handrails are provided and detailed 2w Note or signature on drawings to show they have been checked for accuracy Other information 3a Manufacturers specifications and technical data for materials, planks, fittings, etc., included 3b Names and contact phone numbers for the proponent organization and scaffold erector organization SECTION B: FOR SPECIAL SCAFFOLDS Including over 38 m (125 ft) tall CHECK IF IN SCAFFOLD PLAN: Structural Calculations 4a Design loads, including uniformly distributed and concentrated loads and locations 4b Complete design calculations provided verifying safety factor of 4 for scaffold and all components 4c Calculations verifying foundation and/or existing support structure capacity 4d If required, wind load analysis for all critical wind directions as per SAES-A-112 4e Calculations prepared as per SAES-A-204 (including plots if computer program printouts submitted) 4f Calculations legible and in English 4g Calculations checked and approved by a qualified civil/structural engineer Support Information/Technical Data 5a Load Tables for posts, bearers, planks, etc. 5b Coupler Safe Working Loads (SWL) 5c Other: The needed information, shown above, has been verified as being contained within this scaffold plan package by: Organization Print Name Signature Date Telephone Number Is this scaffold plan complete (Y/N)? Proponent Loss Prevention
Saudi Aramco 9613 (10/01) Reverse
SCAFFOLD PLAN COMPLETENESS CHECKLIST - Explanatory notes Purpose of this checklist: To help the Scaffold Erector, Proponent, and Loss Prevention verify that the scaffold plan is complete (contains all necessary information) when it is submitted for Saudi Aramco review. Signature(s) at bottom of the checklist only indicate that scaffold plan is complete and ready for review. Signature(s) do not indicate that the scaffold plan is correct or otherwise approved for erection. Scaffolds over 12.2 meters (40 feet) tall: Scaffold Erectors representative shall complete section A and sign at the bottom of checklist confirming that scaffold plan is complete, before submittal of scaffold plan (with checklist attached) to the Proponent. Proponent shall verify scaffold plan is complete and sign at bottom, before submittal to the Area Loss Prevention Division (ALPD) for review. ALPD review is required for all scaffolds over 12.2 m (40 ft) tall and for Special Scaffolds. Special Scaffolds, including scaffolds over 38 m (125 ft) tall: Scaffold Erectors representative shall complete both sections A and B. Proponent shall verify both sections before submittal of scaffold plan to ALPD. For Special Scaffolds, review of scaffold plan by Consulting Services Department (CSD), Civil Engineering Unit is required, after review by ALPD is complete. Scaffold Drawings: 2a) Height of scaffold - height measured from the foundation to the uppermost (highest) platform. 2b) Length of scaffold - measured between the extreme posts (standards) along the runners (ledgers). Width of scaffold - measured between the outside and inside posts (standards) along the bearers (putlog or transom) or at right angles to the runners (ledgers). 2c) Type of scaffold: G Tube and coupler G System, with manufacturers brand name noted (e.g., typical system scaffolds used in Saudi Aramco include SGB Cuplok, SSF Kwikstage, and Layher Allround) 2d) Each scaffold must have a Load Rating, as follows: G Light-duty - maximum uniformly distributed load on the platform shall not exceed 120 kg/m 2 (25 psf). Commonly used for inspection, painting, access and light cleaning. G Medium-duty - maximum uniformly distributed load on the platform shall not exceed 240 kg/m 2 (50 psf). Used when light materials are deposited on the platforms. G Special-duty - maximum uniformly distributed load on the platform exceeds 240 kg/m 2 (50 psf). Used when scaffold is required to carry heavy loads, such as masonry, piping, or equipment. 2e) Maximum total weight (personnel, equipment, tools, materials, etc.) that each platform needs to support. 2f) The maximum, total number of levels that will be planked or decked at one time. 2g) The maximum number of platforms that will be in use by workmen at one time (working levels). 2h) Diameter and wall thickness of tubing to be used, tubing material specification (i.e., ASTM, BS) and minimum specified yield stress (Fy) noted. 2i) Planking or scaffold deck (fabricated) type, size, and material specification. 2k) Are locations and spacing for all posts (standards), bearers (putlogs, transoms), and runners (ledgers) clearly shown on the drawing(s)? 2l) Are all attachments or ties to buildings or structures clearly shown and detailed on the drawing(s)? 2m) Are ladders, stairs, or other access to all working levels clearly shown on the drawing(s)? 2n) Are guardrail (toprail, midrail, and toeboard) locations, dimensions, and sizes clearly shown? 2o) Are foundations and other supports, including base plates and sills, fully detailed? 2p) Are drawings drawn to scale on at least size A3 paper (297 x 420 mm) and the scale noted? 2q) Are complete dimensions shown to fully locate all scaffold components? 2t) Are all potential obstructions and interferences clearly shown? Will they prevent the construction of the scaffold exactly as shown? In most cases, this will require a site visit to confirm. 2u) Have areas that should remain free of scaffold obstructions, such as roads, corridors and excavations, been adequately considered? This may require a site visit to verify. 3a) Are specifications, technical data, brochures or other manufacturers information for scaffold components and fittings included in the submitted package? Special Scaffold: either: (a) higher than 38 m [125 ft] or exceeds the maximum height limits in section 9.11 of the Saudi Aramco Scaffold Safety Handbook; (b) cantilevered by more than 3 m [10 ft]; (c) over 30 square meters [320 sq ft] total platform area and supported by or hung from an existing structure or building (e.g., roof, pipe rack, offshore platform); (d) supporting loads greater than 240 kg/m 2 [50 psf], including piping, equipment, masonry, new or existing structures, or loads other than workers and their materials; (e) supported by or hung from one or more outrigger beams; or (f) supported by or hung from wind girders or roofs of floating roof tanks.