Title Page

  • Site conducted

  • Date and time

  • Location
  • Client

PPE INSPECTION

  • Climbing helmet with 2 point chin strap

  • Photo Evidence

  • Eye protection

  • Photo Evidence

  • Hearing protection

  • Photo Evidence

  • Dust masks FFP3 only

  • Photo Evidence

  • Safety boots

  • Photo Evidence

  • Gloves

  • Photo Evidence

  • Client branded Hi -vis

  • Photo Evidence

  • In date first aid kit Inc. eyewash

  • Photo Evidence

  • Correct clothing

  • Photo Evidence

  • Services locator

  • Photo Evidence

  • Storage bag

  • Photo Evidence

  • Overall condition

SAFETY EQUIPMENT

  • Ladder standoff

  • Photo Evidence

  • Anti slip ladder mat

  • Photo Evidence

  • Cones/barriers

  • Photo Evidence

  • Adequate CFL signage

  • Photo Evidence

  • Health and safety document folder

  • Photo Evidence

  • Overall condition

PERSONAL FALL PROTECTION EQUIPMENT (PFPE)

  • 2 POINT FULL BODY HARNESS

  • Photo Evidence

  • Date of first use

  • Date of manufacture

  • Unique serial number

  • Inspection

  • COWSTAIL LANYARD

  • Photo Evidence

  • Date of first use

  • Date of manufacture

  • Unique serial number

  • Inspection

  • SKR GUIDED ROPE GRAB

  • Photo Evidence

  • Date of manufacture

  • Unique serial number

  • Inspection

  • 10M KERMANTLE ROPE

  • Photo Evidence

  • Date of first use.

  • Date of manufacture.

  • Unique serial number

  • Inspection

  • 10 MM EYEBOLTS

  • Photo Evidence

  • Inspection

  • 2 x 10 M RATCHET STRAPS

  • Photo Evidence

  • Inspection

  • YELLOW STORAGE BAG

  • Overall condition

EXTENSION LADDERS

    Extension Ladders
  • Ladder ID name

  • Ladder Class (EN131 or Class 1)

  • Inspection tag displayed (All section)

  • Date of next inspection

  • Feet

  • Rungs

  • Styles

  • Hinges

  • Section hooks

  • Screws/rivets/fixings

  • Overall condition

STEP LADDERS 1

    Step Ladder
  • Ladder ID name

  • Ladder Class En131 or Class 1 ONLY

  • Inspection tags displayed

  • Feet

  • Rungs

  • Hinges

  • Styles

  • Screws/rivets/fixings

  • Platform

  • Overall condition

HOP UPS

Hop Ups

  • Hop Up ID Name

  • Platform Condition

  • Legs

  • Feet

  • Leg Locking Mechanism

  • Inspection Tags In Date

DOCUMENTATION

  • Risk assessment available onsite

  • Fallstop safety documentation available onsite

CORRECTIVE ACTIONS CONTRACTOR

  • actions required

  • time frame

CORRECTIVE ACTIONS FALLSTOP

  • Follow up required

SIGN OFF

  • Contractor

  • Fallstop Ltd

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.