Title Page

NOTE: Sample size - 2 to be conducted per quarter (2 Working at Heights CCVs)

  • Work Order Number

  • Job Description

  • Location

  • Conducted on

  • Conducted by

  • CMW's involved in the working at heights task

Exclusion zones

Working at Heights Risk Scope - Gravitational and kinetic energy exchange as a result of a fall from height

Working at Heights Critical Control Objective - Manage equipment interactions in the working at heights areas through the use of restricted zones, barricades, spotters as per the BMC Barricading Standard

Working at Heights Critical Control Design - Working at Heights - Exclusion zones are identified and demarcated taking into account the potential of the working at heights plant and equipment from being struck by other pant or equipment used on site.

  • Have they demonstrated how they considered the equipment interaction in the JSA and/or scaffold build plan

  • Take a photo of evidence - Obtain a copy of the JSA and associated Scaffold Build Plan (if required) which demonstrates that equipment interactions have been highlighted as risks and that exclusion zones have been identified as controls

  • Add comments:

  • Have they demonstrated how they have considered the equipment interaction when using mobile EWP

  • Take a photo of evidence - Obtain a copy of the JSA which demonstrates that equipment interactions have been highlighted as risks and that exclusion zones have been identified as controls

  • Add comments:

  • Exclusion zone operation reflects the interaction hazards identified in the JSA and has been set up in line with the requirements set out in the BMC Barricading Standard.

  • Take a photo of evidence - Verify that the exclusion zones are in place and are effective in line with the BMC Barricading Standard. Has the appropriate Tape/Signage/Lighting been put in place?

  • Add comments:

Fit for purpose equipment

Working at Heights Risk Scope - Gravitational and kinetic energy exchange as a result of a fall from height

Working at Heights Critical Control Objective - Fit for purpose equipment inspection and use. The objective this control is to ensure that all W@H is in line with required standards, is used according to its safe working load and is fit for purpose so as to not fail when in use. W@H equipment includes scissor lifts, EWPs, lift boxes and similar devices or machines.

Working at Heights Control Design Standard - Working at Heights equipment (e.g. scissor lifts, EWP, lift boxes) are inspected as fit for purpose and display a safe working load

  • All working at height equipment (e.g. scaffolds, scissor lifts, EWP, lift box) have a relevant certification

  • Take a photo of evidence - Verify that the equipment inspections are carried out as per the maintenance system or that the hired equipment inspection form has been completed for hired equipment

  • Add comments:

  • Take a photo of evidence - For scaffolding only verify a current scafsafe tag displayed and if not that it is barricaded against inadvertent use

  • Add comments:

  • For lift boxes ensure a documented lift plan is in place as per cranage and lifting operating procedures

  • Add comments:

  • All staff performing working at heights equipment inspections have been trained to the required competency - RIIWHS204D Work Safely at Heights

  • Take a photo of evidence - Observe a sample of Coal Mine Workers W@H and verify from LMS that they have been adequately trained.

  • Add comments:

  • Safe working load is displayed for W@H equipment (in line with Australian Standards requirements)

  • Take a photo of evidence - Verify equipment has safe load limit displayed (includes scaffolds, scissor lifts, EWP, Lift box, mobile work platforms)

  • Add comments:

  • Type in name and sign.

  • Email audit and attach to Notification of Work Order

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