Title Page
-
Prepared by
-
Client / Site
-
Conducted on
-
Location
-
Task Observed
-
Workgroup Observed
-
This Is A High Risk Activity: Unwanted Events: Fall from one level to another
-
Reference Procedures:
EIMS-4-9291 Managing the risk of falls and working at heights,
EIMS-4-9616 Safe Work Method Statement
-
Has the hierarchy of controls been applied to the working at heights activities; e.g. eliminating the need to work at height where practicable, using fixed platforms such as scaffolding, edge protection, or EWP’s instead of fall arrest or restraint systems? S EWP’s have engineering controls to prevent crush injuries to operator (secondary guarding) unless risk assessment demonstrates not reasonably practicable.
-
Task specific SWMS/JHA developed, approved, responsibilities clear and applicable, SWMS available at work front and applicable workers have signed on
-
Working at height permit & rescue plan (where required) raised and approved, and available at the work front
-
Working at heights & supervision of working at heights performed by trained and competent workers
-
Harnesses and lanyards -Inspected prior to use by competent operators, details recorded on register
-
Harnesses and lanyards -Lanyards incorporate a shock absorber
-
Harnesses and lanyards -Fall arrest limits freefall to 1.8m
-
Harnesses and lanyards -Full body (5 point) harnesses used, attached to appropriately assessed anchor points
-
Equipment, Elevating Work Platforms & Scaffolding MUST be - Fit for purpose design and inspected/approved prior to use
-
Equipment, Elevating Work Platforms & Scaffolding MUST be - Compliant with the applicable Australian or equivalent standard
-
Equipment, Elevating Work Platforms & Scaffolding MUST be - Inspected by a competent person prior to use (Scaffold inspection tags)
-
Equipment, Elevating Work Platforms & Scaffolding MUST be - Used and maintained in accordance with manufacturer’s instructions, standards or design specifications
-
Equipment, Elevating Work Platforms & Scaffolding MUST be - Ongoing monitoring of work at heights controls and re-inspection/approval of changes as required
-
When conducting workers interview did the opperators understand all controls required for working at heights and demonstrate competency in applying them
-
When conducting Visual Inspection - did activities occurring involving working at heights, or risk of fall are witnessed to have been safely planned, conducted, and supervised
-
Add media
-
Add signature
