Title Page
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Site conducted
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Conducted on
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Conducted By:
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Location (i.e. Rusholme)
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Specific Area Inspected (i.e Wind Turbine Number / Workshop etc..)
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Scoring Criteria
Compliant – No shortfalls identified, criteria met or standards required achieved
Partially Compliant – Minor shortfalls identified in the standard or requirement, minor opportunities for improvement identified and the standard is still to an acceptable level. (For Example -PAT Testing – Most items tested and in date however a few units have been missed)
Non-Compliant – The standard or requirement has not been achieved and deemed to be unacceptable. Immediate action is required to address the shortfall/s (Example – PAT Testing – Most items out of date and not tested) -
Fixed Collective Protection – Hand rails, ladders, flooring / grating are in good condition and fit for purpose? Pre Use checks carried out on service lift prior to use? (Protection must prevent fall from height)
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Temporary Collective Protection - Scaffolding tagged and in date? Temporary working platforms (i.e. Zip Up platform) in good condition and inspected, and Installed by a competent person? (Ensure any temporary opening where a fall from height is likely has a fixed barrier in place i.e. Barrier tape to prevent fall from height risk is prohibited)
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Falling Items – Items that could fall to a lower level, risking damage or injury must either be secured or contained / exclusion zones established. (i.e. Toe boards fitted, tethers in use, equipment contained within containers. Check condition of tethers and personal tool bags)
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Risk Assessment & POWRA conducted? – Teams working at height must have conducted a risk assessment. The working party members should have been briefed on the requirements of controls from this process. Are the control measures stated in place?
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Fall Restraint – Is the correct fall restraint system being used and in date? (Must be controlled via preventing physical access to fall point. Using a correct length lanyard (secured to a fixed point). In the case of MEWP`s it should not be possible for the person in the basket to climb out once attached.
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Fall Arrest- Is the correct arrest system being used and in date? (i.e. Full body harness / twin lanyards / slider). Buddy checks conducted prior climbing?
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Inspection of PFPE- All Personal Fall Protective Equipment is inspected and within its thorough examination date?
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Information – Adequate signage / demarcation in place to alert others to risks either above or below?
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Emergency Arrangements - Is a rescue plan available for the task? Rescue equipment available and within inspection date? Suitable Communications established? Are individuals trained and competent to enact the rescue plan?
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Portable Ladders – Ladders must be tagged and secured. Used only for short duration activity. They should be the correct size and on a firm surface. Pre use check conducted on potable ladders prior to use?
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Fixed ladders / access gates to roofs / unauthorised areas– Ladders/gates that are part of fixed plant or building (Excluding WTG) must be protected via a locked plate/lock door preventing use / entry without authorisation.
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NOTES: