Title Page
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Job number:
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Select date
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Customer name:
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Engineer name and Tech ID:
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Type of ladder used
- None
- Combi Ladder 0 - 2 Rung
- Combi Ladder 3 - 4 Rung
- Single Section Ladder
- Double Section Ladder
- Triple Section Ladder
- Cat Ladder
- Step Ladder
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PPE, Y - Hang, Harness, Eye Bolt.
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PPE, Eye Bolt.
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PPE, Microlite, Ladder Mate, Full Fall Arrest and Eye Bolt.
Please follow ladder hierarchy for control measures. -
Have you escalated to TM?
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Do not proceed until you have escalated to your TM.
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Name of Tm you escalated to :
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Were you able to use all control measures?
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Please list what measures could not be used and enter what alternatives you used to stabilize ladder in accordance with the ladder hierarchy of control :
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Identified hazards
- Adverse Weather
- Third Parties
- Traffic
- Garden Hazard
- Ground Hazard
- Exsisting Control Measure
- Any Other Hazard
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Can hazard be removed?
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If ALL hazards can be removed, then only the minimum control measures are required.
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Can hazard be controlled or minimised?
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Please escalate to TM
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CABLE CLIPPING.
Follow the hierarchy diagram for cable clipping.
ALWAYS use full fall arrest on all stages of ladder.
An Eye Bolt is not necessary when clipping but you may use one if you wish.
Minimise long runs of clipping at height.
ALWAYS try to drop to low level when clipping as soon as possible so you do not need to use a ladder.
NEVER clip at height for purely cosmetic reasons. -
Any additional information :
