Height Safety System Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Data Plate

• Is there a data plate at all access points to roof?

  Yes

  No

  N/A

• How many?

• Photos

  Media

• Is the data plate legible?

  Yes

  No

  N/A

• Is all required information on the plate?

  Yes

  No

  N/A

• Date of last know inspection?

• Installation date?

• Installed by?

• Manufactured by?

• Persons per system?

• System load rating?

• Safe working load?

• System ID number?

• Were any new data plates installed?

  Yes

  No

  N/A

• Photos

  Media

Fixed Ladders

• Are there any fixed ladders on site?

  Yes

  No

  N/A

• How many?

• Photos

  Media

• Is the ladder secured appropriately?

  Yes

  No

  N/A

• Is there any visible damage to the ladder?

  Yes

  No

  N/A

• Is there a fall arrest line on the ladder?

  Yes

  No

  N/A

• If fall arrest line present include in static line section of this report

• Does the line have a shock absorber?

  Yes

  No

  N/A

• If shock absorber present record details in associated equipment register

• Is the line installed in a compliant manner?

  Yes

  No

  N/A

• Is there a cage on the ladder?

  Yes

  No

  N/A

• If no lifeline or cage is present would one be recommended?

  Yes

  No

  N/A

• Is there any other issues affecting the safe operation of the ladder?

  Yes

  No

  N/A

Ladder Brackets

• Are there any ladder brackets onsite?

  Yes

  No

  N/A

• How many?

• Photos

  Media

• Is the bracket installed as per the manufactures specifications?

  Yes

  No

  N/A

• Have any modifications been made to the bracket or parent structure?

  Yes

  No

  N/A

• With the appropriate ladder can the bracket be used to access the required area safely?

  Yes

  No

  N/A

Lanyards and Wire Rope

• Are there any lanyards or wire rope onsite?

  Yes

  No

  N/A

• How many?

• Photo

  Media

• Has the lanyard/wire rope been damaged or modified in any way?

  Yes

  No

  N/A

• Is there any deterioration in the anchorage/parent structure?

  Yes

  No

  N/A

• Is the line the appropriate length for the designated task?

  Yes

  No

  N/A

Fixed Anchor Points

• Is there any fixed anchor points onsite?

  Yes

  No

  N/A

• Are all anchors individually tagged?

  Yes

  No

  N/A

• Photos of anchor tags

  Media

• Abseil/Fall Restraint (12kN+)

• Are these anchors present onsite?

  Yes

  No

  N/A

• How many

• Types of anchor present

  Media

• Fall Arrest (15kN+)

• Are these anchors present onsite?

  Yes

  No

  N/A

• How many

• Types of anchor present

  Media

• What are the anchors fixed to?

  Select Steel Purlin roof sheet & Purlin roof sheet concrete bricks bolt through multiple other

  • Steel Purlin
  • roof sheet & Purlin
  • roof sheet
  • concrete
  • bricks
  • bolt through
  • multiple
  • other

• If the anchor is fixed to concrete or bricks all anchors must be pull tested to 7.5Kn for 2 Minuets

• Was a testing device used?

  Yes

  No

  N/A

• If a testing device was used please provide make model and serial number

• Any signs of deterioration in the anchor or parent structure?

  Yes

  No

  N/A

• Any corrosion or rust present in anchor or parent structure?

  Yes

  No

  N/A

• Is the anchor damaged or deformed from usage or loading?

  Yes

  No

  N/A

• Has the anchor or parent structure been modified in any way?

  Yes

  No

  N/A

• Is there any other factors that would prevent the anchor holding its intended load when required?

  Yes

  No

  N/A

Static Lines

• Are static lines present onsite?

  Yes

  No

  N/A

• How many

• Types of lines present

  Media

• What are the lines fixed to?

  Select Steel Purlin roof sheet & Purlin roof sheet concrete bricks bolt through multiple other

  • Steel Purlin
  • roof sheet & Purlin
  • roof sheet
  • concrete
  • bricks
  • bolt through
  • multiple
  • other

• If the line is fixed to concrete or bricks all anchors must be pull tested to 7.5Kn for 2 Minuets

• Was a testing device used?

  Yes

  No

  N/A

• If a testing device was used please provide make model and serial number

• Is the line tensioned appropriately?

  Yes

  No

  N/A

• Are all bolts, rivets, screws and fastenings secure?

  Yes

  No

  N/A

• Any corrosion or rust present in system or parent structure?

  Yes

  No

  N/A

• Any corrosion or rust present in travel/attachment device?

  Yes

  No

  N/A

• Is there any brittleness or fraying in the steel cable?

  Yes

  No

  N/A

• Does the travel device operate smoothly along the entire system?

  Yes

  No

  N/A

• Does the system have a shock absorbing device?

  Yes

  No

  N/A

• Has the shock absorber been deployed or damaged in any way?

  Yes

  No

  N/A

• Does the line have a working tension indicator?

  Yes

  No

  N/A

• Are all joints and swages secure?

  Yes

  No

  N/A

• Is there any visible cuts or dents in the system?

  Yes

  No

  N/A

• Is there any other visible damages or modifications that may cause the system to fail?

  Yes

  No

  N/A

Fixed Rail Systems?

• Are fixed rail systems onsite?

  Yes

  No

  N/A

• How many

• Types of rails present

  Media

• What are the rails fixed to?

  Select Steel Purlin roof sheet & Purlin roof sheet concrete bricks bolt through multiple other

  • Steel Purlin
  • roof sheet & Purlin
  • roof sheet
  • concrete
  • bricks
  • bolt through
  • multiple
  • other

• If the rail is fixed to concrete or bricks all anchors must be pull tested to 7.5Kn for 2 Minuets

• Was a testing device used?

  Yes

  No

  N/A

• If a testing device was used please provide make model and serial number

• Are all bolts, rivets, screws and fastenings secure?

  Yes

  No

  N/A

• Are all joints under the maximum allowable distance of 4mm

  Yes

  No

  N/A

• Is the rail mounted as per the manufactures specifications?

  Yes

  No

  N/A

• Are any bolts or connectors missing?

  Yes

  No

  N/A

• Any corrosion or rust present in system or parent structure?

  Yes

  No

  N/A

• Is the rail free from any contaminants?

  Yes

  No

  N/A

• Is the rail free from dents, cracks, splitting and other damages?

  Yes

  No

  N/A

• Any corrosion or deterioration present in travel/attachment device?

  Yes

  No

  N/A

• Does the shuttle/travel device operate smoothly along the entire system?

  Yes

  No

  N/A

• Is there any other visible damages or modifications that may cause the system to fail?

  Yes

  No

  N/A

Other Structures for Anchoring

• Is there other structures that would be suitable for anchoring onsite?

  Yes

  No

  N/A

• Photos

  Media

• Is the structure a permeant support of the building?

  Yes

  No

  N/A

• Can it be accessed with ease?

  Yes

  No

  N/A

• Is the structure free from dirt, grease, insects and other contaminants?

  Yes

  No

  N/A

• Does the structure have any sharp edges or burrs?

  Yes

  No

  N/A

• Will the structure hold a 15+kN load?

  Yes

  No

  N/A

• Could slings or other rigging slip off?

  Yes

  No

  N/A

Final Appraisal

• What is the result of the inspection?

  Safe for use

  clean and re inspect

  repairs needed

  unserviceable

  other

• If anything besides safe for use was selected please give details

• Items to be addressed

• Photos

  Media

• Will a return visit be required? If yes provide details

  Yes

  No

  N/A

• Additional notes from technician

• Site representative

  Sign

• Technician

  Sign