CU Estates Access Equipment Spot Check

Maintenance Team Safety Inspection

• Work Order Number

• Conducted on

  Date
• Location
  Address

• Personnel

• Add media

  Media

• Prepared by

• Add signature

  Sign

• Are changes required to Risk Assessments?

STEPLADDERS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Does the task have to be completed at Height?

  Yes

  No

  N/A

• Are steps suitable for the task?

  Yes

  No

  N/A

• Do the steps have valid in date Scafftag?

  Yes

  No

  N/A

• Has the operator had relevant training in correct use?

  Yes

  No

  N/A

• Do operatives have ready access to SWP 21 - Access Equipment Ladders and StepsMobile and SWP 70 - Working at Height General Requirements

  Yes

  No

  N/A

• Are SWPs being followed?

  Yes

  No

  N/A

• Are the steps Class 1 - industrial or Class 2 - Trade?

  Yes

  No

  N/A

• Have the steps been inspected before use?

  Yes

  No

  N/A

• Ensure non-conducting steps are used near electrical plant

  Safe

  At Risk

  N/A

• Are the steps on a firm base?

  Yes

  No

  N/A

• Is the operator aware never to stand on the top step of stepladders?

  Yes

  No

  N/A

• When required does the operative know to obtain a second man to foot or use anti slip device?

  Yes

  No

  N/A

MOBILE LADDERS

• INSPECTING ITEMES RELATED TO THIS SECTION?

  YES

  NO

• Does the task have to be completed at Height?

  Yes

  No

  N/A

• Is a ladder the most suitable equipment to use for the task?

  Yes

  No

  N/A

• Does the ladder have a valid in date Scafftag?

  Yes

  No

  N/A

• Has the operator had relevant training in correct use?

  Yes

  No

  N/A

• Do operatives have ready access to SWP 21 - Access Equipment Ladders and Steps and SWP 70 - Working at Height General Requirements

  Yes

  No

  N/A

• Are SWPs being followed?

  Yes

  No

  N/A

• Is the ladder Class 1 - industrial or Class 2 - Trade?

  Yes

  No

  N/A

• Have the steps been inspected before use?

  Yes

  No

  N/A

• Ensure non-conducting steps are used near electrical plant

  Safe

  At Risk

  N/A

• Are the steps on a firm base?

  Yes

  No

  N/A

• Can the operative maintain 3 points of contact at all times?<br>NOTE. Ladders should only be used as access equipment not as a Working Platform

  Yes

  No

  N/A

• Are items carried limited to 10kgs?<br><br>NOTE: TOOLS MUST ONLY BE CARRIED IN TOOL BELTS

  Yes

  No

  N/A

• Is the use of ladders limited to tasks of less than 30 minutes?

  Yes

  No

  N/A

• Has the area below been cordoned off to prevent others knocking the ladder or being struck by falling items?

  Safe

  At Risk

  N/A

• Is the ladder set at the correct angle - 4 feet up for every 1 foot out?

  Yes

  No

  N/A

• Is the ladder secured at the top with rope or use of ladder stays?<br><br>Where this is not possible, a second man is to foot or use anti slip device!

  Yes

  No

  N/A

• Does the ladder extend 5 rungs past the landing?

  Yes

  No

  N/A

• Is the operator working safely ie avoiding over-reaching?

  Safe

  At Risk

  N/A

• Is the operator avoiding Lone Working?

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

FIXED LADDERS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Has operative carried out visual check on condition?

  Safe

  At Risk

  N/A

• Are vertical ladders hooped above 2 metres?

  Yes

  No

  N/A

• Has operative received relevant training in correct use?

  Safe

  At Risk

  N/A

• Do operatives have ready access to SWP 70 - Working at Height General Requirements?

  Yes

  No

  N/A

• Are operatives following SWPs?

  Yes

  No

  N/A

• Is all equipment winched up?

  Safe

  At Risk

  N/A

• Are site conditions deemed safe?

  Safe

  At Risk

  N/A

• Is tower clear of all services at height (at least 5m)?

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

MOBILE TOWER SCAFFOLD

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Has the scaffold been erected by a competent trained person? - check In date PASMA

  Yes

  No

  N/A

• Do operatives have ready access to SWP 20 - Access Equipment Mobile Towers and SWP 70 - Working at Height General Requirements

  Yes

  No

  N/A

• Are SWPs being followed?

  Yes

  No

  N/A

• Has the tower been erected in accordance with the manufacturers patent handbook?

  Yes

  No

  N/A

• Has the tower been inspected after erection and Scafftag applied?<br><br>CU-HAS-FORM 3.30 - Platform inspection Report

  Yes

  No

  N/A

• Is tower clear of all services at height (at least 5m)?

  Yes

  No

  N/A

• Is tower only use when weather is fine?

  Yes

  No

  N/A

• Are outriggers fully extended and brakes applied?

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

SCAFFOLDS

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Competent Person supervised Erection?

  Yes

  No

  N/A

• Tagged and inspected by Competent Person?

  Yes

  No

  N/A

• Do operatives have ready access to SWP 70 - Working at Height General Requirements

  Yes

  No

  N/A

• Are SWPs being followed?

  Yes

  No

  N/A

• Base (sills/plates/jacks/casters - secured/level)

  Safe

  At Risk

  N/A

• Scaffolding not accessed in high winds

  Yes

  No

  N/A

• Platforms (fully planked, secure/proper overhang, condition)

  Safe

  At Risk

  N/A

• Access (ladder - attached/integrated in frame)

  Yes

  No

  N/A

• Secured to Structure/Outriggers in place

  Yes

  No

  N/A

• Guardrails, Toeboards, Personal Fall Prot.

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

MOBILE ELEVATED WORKING PLATFORM

• INSPECTING ITEMS RELATED TO THIS SECTION?

  YES

  NO

• Are operatives trained to operate MEWP - CITB/IPAF

  Yes

  No

  N/A

• Is MEWP within its LOLER compliance date?

  Yes

  No

  N/A

• Do operatives have ready access to SWP 70 - Working at Height General Requirements

  Yes

  No

  N/A

• Are SWPs being followed?

  Yes

  No

  N/A

• Is machine stable?

  Safe

  At Risk

  N/A

• Are outriggers or stabilisers used where necessary?

  Yes

  No

  N/A

• Are users wearing a full safety harness clipped the the machine?

  Safe

  At Risk

  N/A

• Is load within the machines safe working load?

  Yes

  No

  N/A

• Does work stop if the wind speed or weather conditions deteriorate to an unacceptable level?

  Yes

  No

  N/A

• Are barriers provided around machine to prevent vehicle collisions?

  Yes

  No

  N/A

• Are barriers provide to stop others entering area where they could impact with the machine or be struck by falling objects?

  Yes

  No

  N/A

• Are there at least 2 operatives at all time?

  Yes

  No

  N/A

• IS THERE A RESCUE PLAN IN THE EVENT THAT AN OPERATIVE FALLS FROM THE CAGE?

  Yes

  No

  N/A

• Other (please specify)

  Safe

  At Risk

  N/A

PPE

• Safety Boots<br><br>Are operatives wearing safety boots with good grip and clean of debris<br><br>

  Yes

  No

  N/A

• Hi Viz <br><br>To be worn by all operatives who are working at height

  Yes

  No

  N/A

• Hard Hat<br><br>To be worn whenever there is a chance for hitting head on overhanging objects or from falls from above.<br>Not applicable if working inside on step ladders or access ladders.

  Yes

  No

  N/A

• Other<br><br>

  Yes

  No

  N/A

• Enter Auditor's Name and Signature.

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