Identification and Approval Inspection Record - Layher

Identification and Approval Inspection Record
of mobile working platforms (rolling towers) as per DIN EN 1004
as per Sections 10 and 11 of the German Ordinance on Industrial Safety and Health (BetrSichV)
Scaffolding erector:
Telephone number:
Place of erection:
Tower No.:
Scaffolding group: � 2 (150 kg/m²) � 3 (200 kg/m²)
The sum of the live loads of all scaffolding levels positioned one above the other inside one scaffolding bay
must not exceed the above value.
Access type:
outside buildings: ________________ m
inside buildings: ________________ m
Restrictions on use applying to the user:
Inspected and approved
Qualified person of scaffolding erector:
Date, signature
Qualified person during assembly:
Assembly period:
Qualified person for inspection:
Inspection period:
Client:
Telephone number:
� A Stairway � B Step Ladder � C Angled Ladder � D Vertical Ladder
Maximum permissible platform height as per instructions for assembly and use.
Unauthorized changes to the scaffolding are prohibited unless the scaffolding erector
has been consulted beforehand! The castors must be locked during work on the scaffolding.
The instructions for assembly and use must be carefully complied with!
Wilhelm Layher GmbH & Co. KG
Scaffolding Grandstands Ladders
Ochsenbacher Strasse 56
D-74363 Gueglingen-Eibensbach
Qualified person of user:
Date, signature
Tower No.: ____________________________
Notes and comments:
Inspected and approved
Qualified person of scaffolding erector:
Date, signature
Qualified person of user:
Date, signature
Yes No
Scaffolding components no visible damaged � �
Castors load bearing capacity suitable � �
provided with locking brake / � �
secured by locking screw against breaking loose � �
Ladder Frames paired ladders with double bracing � �
horizontal bracing in the basic structure � �
standard joints secured (spring clip) � �
Decks decks / hatches in suitable number / spacing � �
Accesses stairway, step ladder, angled ladder or vertical � �
ladder provided
Side protection 3-part side protection fitted at all working levels � �
Ballast ballasting as per instructions for assembly and use � �
Widening suitable for height � �
Special structures According to Instructions for Assembly and Use / Static � �

Directions for use:
• Level the tower using the adjusting spindles.
• Access to the working platform is permitted only on the inside of the scaffolding.
• Working on two or more working levels at the same time is not permitted.
• The mobile working platform must not be tilted by horizontal loads, such as by pressure
applied to the side protection during demolition work.
• Assembly and movement are only permitted on sufficiently firm ground, and only in a
longitudinal or diagonal direction. Avoid any impacts.
• No personnel and/or loose objects may be on the tower while it is being moved.
• After movement, lock the castors by pressing down the brake lever.
• The scaffolding structures must not be subjected to any aggressive fluids or gases.
• Mobile working platforms must not be connected by bridges to one another or to buildings.
• When the mobile working platform is used outdoors or in open buildings, it must be moved to
a wind-protected area when wind strengths exceed 6 on the Beaufort scale or at the end of a
shift, or secured against toppling over by other suitable measures.
• Decks can also be moved up or down by one rung to reach a different working height (ensure
continued side protection).
• The access hatches must be kept shut whenever they are not in use.
• Climbing over from rolling towers is prohibited.
• Jumping onto decked surfaces is prohibited.
• It is prohibited to increase the height of the deck using ladders, boxes or other objects.
• Mobile working platforms are not designed to be lifted or suspended.
Wilhelm Layher GmbH & Co. KG
Scaffolding Grandstands Ladders
Ochsenbacher Strasse 56
D-74363 Gueglingen-Eibensbach
Unauthorized changes to the scaffolding are prohibited unless the scaffolding
erector has been consulted beforehand! The castors must be locked during
work on the scaffolding.
The instructions for assembly and use must be carefully complied with!