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 ?
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Has it been communicated to the contractors?
Risk assessment
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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?
Safe system of work
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Are protective and prevent measures implemented for the task?
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Are personal protective equipment used and are adequate?
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Is there adequate equipment for the task ?
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Are there right tools for the job?
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Is there proper supervision for the job?
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Is there safe access and agrees ?
Fall prevention
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Is there a safe working platform such as scaffold or Mobile access tower?
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Is there a safe working platform such as scissor lifts or telescopic man-lifts?
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Is there travel restrictions system such as lanyard with a fixed length to prevent workers from reaching the danger zone ?<br>
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Is there permanent installation working platform for the frequent routine working at height activities?
Fall protection
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Are appropriate fall protect (full body harness)with shock absorbing lanyard used?
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Is there a system for ensuring that fall protection equipment tested and certified for use and inspected by the user before use and being destroyed following a fall or where inspection has shown evidence of excessive wear or mechanical malfunction?
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Is there a register of all fall protection equipment?
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Is the anchorage point used capable with standing the considerable forces generated if a fall did occur?
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Is there a system to ensure anchorage points are tested and approved by a competent person to ensure that they are secured and can take required load?
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Is there a system for preparing and testing emergency rescue procedures for fall victims?
Falling objects
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Is there barricade for overhead work being conducted?
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Are scaffolds and work platforms maintained tidy and orderly at all time?
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Do all items on the scaffold or work platform secured when not in use and untended to prevent them falling
Scaffold and work platforms
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Are scaffolds planned, erected, dismantled or altered by capable trained personnel under appropriate capable supervision?
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Are scaffolds and working platforms constructed so that they are?<br>A) level, straight, and erected on a firm stable solid foundation with supporting metal base plates and timber sole plates, loose bricks or similar objects must never be used to support a scaffold <br>B) of sufficient strength and rigidity and are suitable for the purpose for which they are intended<br>C) Secured, stable and properly braced and tied (secured to another structure)<br>D) Assembled so that all components are securely fastened and cannot be accidentally displaced
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Are tools, objects or materials not thrown from scaffold or work platforms to the ground?
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Is the working platform fully and completely assembled with all decking, toe boards, guardrails and mid rails in place?
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Is ladder used to access or egress mobile scaffold towers instead of climbing the scaffold members as means of access or egress?
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Is mobile tower or scaffold structure being used even if some of the component parts are missing, broken or incompatible or it doesn’t display current inspection tag?
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Are Mobile tower never moved when people are still on the working platform?when in use all brakes are securely applied?
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Are all towers inspected by a capable person after assembly and prior to any use and an inspection tag displayed?
Mobile elevated platforms
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Are employees working on mobile platforms wearing fall protection?
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All MWEPs are well maintained, serviced and regularly inspected and evidence of regular maintenance, servicing and inspection available?
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Are MWEPs never used as a lifting machine or any similar activity?
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Do all work activities involving MWEPs have an appropriate risk assessment?
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Are only trained and certified people operate and work from MWEPs?
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Are daily pre used checks and inspection recorded on the inspection card for that piece of equipment?
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Are hardhats, safety boots, suitable eye protection and gloves as well as full body harness with a fall arrest or restraint lanyard worn every person working from an elevated working platform?
Ladder
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Is there a system in place for registration, marking, inspecting and maintenance of all ladders and step ladders?
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Are homemade or temporary ladders used on site
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Are ladders or step ladders used for routine tasks with low risk and of short duration
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Are barricades and signs used to prevent pedestrians and vehicles from inadvertently colliding with the ladder ?
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Are users inspect the ladder or step ladders prior to any use, for any visible defects?