Title Page
NOTE: Sample size - 2 to be conducted per quarter (2 Working at Heights CCVs)
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Work Order Number
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Job Description
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Location
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Conducted on
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Conducted by
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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.
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Have they demonstrated how they considered the equipment interaction in the JSA and/or scaffold build plan
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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
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Add comments:
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Have they demonstrated how they have considered the equipment interaction when using mobile EWP
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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
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Add comments:
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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.
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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?
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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
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All working at height equipment (e.g. scaffolds, scissor lifts, EWP, lift box) have a relevant certification
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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
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Add comments:
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Take a photo of evidence - For scaffolding only verify a current scafsafe tag displayed and if not that it is barricaded against inadvertent use
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Add comments:
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For lift boxes ensure a documented lift plan is in place as per cranage and lifting operating procedures
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Add comments:
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All staff performing working at heights equipment inspections have been trained to the required competency - RIIWHS204D Work Safely at Heights
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Take a photo of evidence - Observe a sample of Coal Mine Workers W@H and verify from LMS that they have been adequately trained.
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Add comments:
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Safe working load is displayed for W@H equipment (in line with Australian Standards requirements)
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Take a photo of evidence - Verify equipment has safe load limit displayed (includes scaffolds, scissor lifts, EWP, Lift box, mobile work platforms)
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Add comments:
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Type in name and sign.
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Email audit and attach to Notification of Work Order