Information

  • Site

  • Location
  • Conducted on

  • Prepared by

  • Personnel present

  • Where relevant, working at heights is part of induction

  • Add media

  • People working at heights have been given information, instruction and training such as Working at Heights

  • Add media

  • Workers are supervised to ensure that safe work practices are in place

  • Add media

  • Are all materials secured from movement

  • Add media

  • Work areas are clear of protruding objects, water, vehicles and people

  • Add media

  • All work areas are free from obstructions

  • Add media

  • Is edge protection erected to comply with regulations where a person could fall 2m or more.

  • Add media

  • Walkways, corridors and stairs are free from obstructions

  • Add media

  • Has safe access been provided e.g. Stair or ladder access

  • Add media

  • Hand rails on stairs are secure and steps are well maintained

  • Add media

  • Ladders are in good condition and are secure and fixed firmly in place

  • Add media

  • High ladders have fall back protection

  • Add media

  • Mechanical lifts are safe

  • Add media

  • Fall arrest systems, such as harnesses, are in place

  • Add media

  • If fall arrest systems in place do anchor points comply with relevant Australian Standards

  • Add media

  • Is PPE inspected and maintained and all fall restraint register established

  • Add media

  • Safer, alternative ways to do the work have been considered

  • Add media

  • Has a risk assessment been carried out before commencement of any work at heights

  • Add media

  • Potential existing hazards have been identified

  • Add media

  • Practical steps have been taken to prevent falls

  • Add media

  • Is there a permit system in place for working at heights

  • Add media

  • Is there a rescue plan in place

  • Add media

  • Are any holes or openings in any floor appropriately covered have appropriate signage "Danger Hole Beneath" and/or is protected using guard rails

  • Add media

Corrective Actions

    Corrective Actions
  • Description

  • Add media

  • Risk Rating

  • Action by

  • Date completed

  • Completed sign off

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.