Information
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Site
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Location
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Conducted on
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Prepared by
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Personnel present
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Where relevant, working at heights is part of induction
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People working at heights have been given information, instruction and training such as Working at Heights
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Workers are supervised to ensure that safe work practices are in place
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Are all materials secured from movement
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Work areas are clear of protruding objects, water, vehicles and people
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All work areas are free from obstructions
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Is edge protection erected to comply with regulations where a person could fall 2m or more.
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Walkways, corridors and stairs are free from obstructions
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Has safe access been provided e.g. Stair or ladder access
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Hand rails on stairs are secure and steps are well maintained
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Ladders are in good condition and are secure and fixed firmly in place
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High ladders have fall back protection
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Mechanical lifts are safe
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Fall arrest systems, such as harnesses, are in place
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If fall arrest systems in place do anchor points comply with relevant Australian Standards
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Is PPE inspected and maintained and all fall restraint register established
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Safer, alternative ways to do the work have been considered
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Has a risk assessment been carried out before commencement of any work at heights
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Potential existing hazards have been identified
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Practical steps have been taken to prevent falls
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Is there a permit system in place for working at heights
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Is there a rescue plan in place
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Are any holes or openings in any floor appropriately covered have appropriate signage "Danger Hole Beneath" and/or is protected using guard rails
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Corrective Actions
- Corrective Actions
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Description
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Risk Rating
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Action by
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Date completed
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Completed sign off