Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Personnel interviewed and accompanying auditor
Procedure
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Is there a written and approved site procedure for working at height?
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Has it been communicated to the employees and contractors?
Working at height
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Have employees and contractors been trained on working at height?
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Has a risk assessment been conducted and signed off before starting work at height?
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Has a permit to work been completed and approved?
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Has fall prevention been implemented wherever possible?
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Are all workers at height wearing fall protection connected to secure anchor points?
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Has the area below the work at height been barricaded off?
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Have tools and loose equipment at height been secured to prevent it from falling?
Ladders
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Is there a register for ladders?
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Are ladders inspected before use to ensure there are no missing rungs and that they have rubber footing?
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When used are ladders tied off at the top to a secure anchoring point or otherwise supported by a person on the ground?
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Never use alluminium or conductive metal ladders within 6 meters of any live overhead electrical powerline.
Scaffolds
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Are scaffolds erected and dismantled by trained scaffolders?
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Are scaffolders wearing fall protection while building or dismantling the scaffold?
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No scaffolds erected in close proximity to live overhead electrical power lines
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Are all scaffolds level, secure, stable, and properly braced/tied (secured to permanent structure)?
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Are all components if the scaffolds adequately secured to prevent displacement?
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Do all scaffolds have a handrail and fixed ladders (not step ladders)?
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Have scaffolds been inspected by a qualified scaffolder before use and is there a tag that certifies safe to use?
Mobile elevated platforms
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Are employees working on mobile platforms wearing fall protection?
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Are operators of elevated mobile platforms aware that they cannot move with people in it?