Fall Protection / Work At Heights

FALL PROTECTION / WORK AT HEIGHTS

  • Is 100% Fall Protection in place for all work at heights

  • Are Job Hazard Analysis (JHA, PTP) in place?

  • Is are fall protection (guardrails) given priority over personal (active) fall protection

  • Are harness lanyards tied-off to suitable anchor points with adequate load capacity per person

  • Are mobile scaffolds used in preference to extension and step ladders

  • Are scaffolds tagged and inspected prior to use by a competent person

  • Are access points to work platforms on scaffolds / mobile towers protected by a gate, hinged hatch or trap door

  • Are scaffolds fitted with a top and mid rail, toeboards and fully boarded? Free from rubbish?

  • Are harnesses with restraint lanyards attached to safe ancorage points within mobile lift

Excavation And Trenches

FALLING OBJECTS / OVERHEAD ACTIVITIES

  • Are public / site personnel protected (spotters, guards/fans, walkways, 'no lift zones') from overhead hazards

  • Are lifting plans in place approved by M+W for work involving lifting of equipment and materials? Is a PTP in place?

  • Are test and inspection records on file for all lifting appliances and lifting equipment (cranes, slings)

  • Are lifting operations being undertaken by Competent Personnel using appropriate communication means

  • Are all loads made secure before lifting i.e. steel banding to timber, banding to blocks, brick cages

  • Are all floor openings securely covered or protected by barriers with toe boards to prevent falling objects

  • Are safety nets suspended beneath roofing activities to capture falling personnel, materials or tools

Falling Objects / Overhead Activities

EXCAVATIONS AND TRENCHES

Energized Electrical Work

ENERGIZED ELECTRICAL WORK

Confined Space (including raised metal floor)

CONFINED SPACE (including raised metal floor)

Chemicals and Gases

CHEMICALS AND GASES

Control of Hazardous Energies (COHE)

CONTROL OF HAZARDOUS ENERGIES (COHE)

Corrective Actions

    Corrective Action
  • Location

  • Contractor

  • Person Responsible for Corrective Action

  • Observation

  • Action Taken

SBO Section

  • Insert Column Location or other Comments Here for Clarification

  • Number of Employees Observed (optional)

Any Marked "At Risk" Must Include Details

  • Face / Eye PPE

  • Foot PPE

  • Hand / Arm PPE

  • Head PPE

  • Hearing PPE

  • Respiratory PPE

  • Fall Protection

  • Mobile Lifts

  • Electrical / GFCI

  • Lockout / Tagout

  • Work Permits

  • Excavations

  • Hot Work

  • Storage Area

  • Body Position

  • Ladders

  • Scaffolds

  • Access / Egress

  • Aerial Lifts

  • Barricades / Signage

  • Slips / Trips / Falls

  • Lifting / Rigging

  • Confined Space

  • Equipment / Tools

  • Housekeeping

  • Lighting

  • Chemical

  • Material Handling

  • Other

PTP Audit

Pre-Task Plan (PTP) Audit

  • All of job steps identified

  • All hazards identified

  • All controls identified

  • Crew and Foreman signatures

  • Observed work activities match PTP

  • Acceptable PTP

  • Comments or Corrective Actions

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.