Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Tools at height are secured from fall and/or the work zone is controlled below

  • A written plan is in place for controlling tools/equipment at height (checklist, HRA, SWP).

  • The work area is prepared as per the written plan above.

  • All materials or loose items are secured on the elevated work site.

  • Travel routes have been considered in planning and controlling.

  • Carrying pouches are designed for controlling tools/materials at height.

  • When not in use, "at height" tools are secure or removed.

  • If applicable, hording/meshing is in a condition to prevent dropped objects (no gaps, secure, in good condition etc.).<br>

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.