Title Page
-
Conducted on
-
Prepared by
-
Full Name
-
Signed
-
Location
-
Picture of the work area
Risk Assessment
Hazards and Controls
-
Select any applicable answers (These are considered Medium Risk Activities)
- Working at a level where a fall would likely cause a minor injury
- Doing a relatively easy task for a short period of time from a stable base and secure position
- A landing surface that is free from dangerous objects
- Performing tasks from the ground using a long-handled device
- Use of a ladder for a short duration for access purposes that is secured from moving and on stable ground
- N/A
-
What Controls have/will be put in place? (Elimination)
- Does not have to be performed at all?
- Can be performed less frequently in the future?
- Can be performed at ground level or on a solid platform with solid edge protection free from the risk of a fall?
- Is Prefabricating/installing parts at ground level possible?
- Not Possible
-
What Controls have/will be put in place? (Passive Fall Protection) Can measures be put in place to isolate the risk of falling?
- Install guard rails or edge protection that provide permanent passive fall protection
- Use an elevated work platform or similar if ground conditions permit. A person in a work platform must wear an anchored harness. (Does not need to leave the EWP at height)
- A person is provided with appropriate training, instruction and supervision to use EWP
- Other
- Not Possible
-
Can measures be put in place to minimise the consequences of a fall?
- Use a harness attached to an anchor before climbing from a Scissor Lift onto a Bucket, Tank, Truck Body or other object at height
- Use rails or a "catch" platform
- Other
- Not Possible
-
-
Stop the task until you have approval
- Foreman/Production Manager Signed off on Task
- Stop task until safe controls can be put in place
-
Select any applicable answers (These are considered High-Risk Activities)
- Working at a height or accessing an area where a fall would likely cause a serious injury
- Using a Ladder, Scissor or Boom Lift to access the top of a Bucket, Tank, Truck Body or other object that could where a fall would likely cause a serious injury
- The task requires work in areas with difficult access
- Poor housekeeping, wastes, debris or stored or stacked materials where they interfere with access to work
- N/A
-
What Controls have/will be put in place? (Elimination)
- Does not have to be performed at all?
- Can be performed less frequently in the future?
- Can be performed at ground level or on a solid platform with solid edge protection free from the risk of a fall?
- Is Prefabricating/installing parts at ground level possible?
- Not Possible
-
What Controls have/will be put in place? (Passive Fall Protection) Can measures be put in place to isolate the risk of falling?
- Install guard rails or edge protection that provide permanent passive fall protection
- Use an elevated work platform or similar if ground conditions permit. A person in a work platform must wear an anchored harness. (Does not need to leave the EWP at height)
- A person is provided with appropriate training, instruction and supervision to use EWP
- Other
- Not Possible
-
Can measures be put in place to minimise the consequences of a fall?
- Use a harness attached to an anchor before climbing from a Scissor Lift onto a Bucket, Tank, Truck Body or other object at height
- Use rails or a "catch" platform
- Other
- Not Possible
-
Stop the task until you have approval
- Foreman/Production Manager Signed off on Task
- Stop task until safe controls can be put in place
-
Select any applicable answers (These are considered Extreme Risk Activities)
- Activities where there is a risk of falling two metres or more (measured from the person’s feet to the ground below)
- Working near an unprotected open edge (e.g. close proximity to an edge with no handrails)
- Activities where a fall would likely result in permanent impairment or death
- Using equipment on uneven/unstable ground or working on a sloping or slippery surface where it is difficult to maintain balance
- Performing work from an unsecured ladder
- Doing awkward or difficult work at a height
- Working at height frequently or for extended periods of time
- Others in the vicinity that may be impacted by the activity (e.g. hit by falling objects)
- Using equipment for purpose for which it is not designed (e.g. standing on a desk or chair to access a high shelf)
- Working on an elevated fragile surface (e.g. asbestos roofing, near skylights)
- Other
-
What Controls have/will be put in place? (Elimination)
- Does not have to be performed at all?
- Can be performed less frequently in the future?
- Can be performed at ground level or on a solid platform with solid edge protection free from the risk of a fall?
- Is Prefabricating/installing parts at ground level possible?
- Not Possible
-
What Controls have/will be put in place? (Passive Fall Protection) Can measures be put in place to isolate the risk of falling?
- Install guard rails or edge protection that provide permanent passive fall protection
- Use an elevated work platform or similar if ground conditions permit. A person in a work platform must wear an anchored harness. (Does not need to leave the EWP at height)
- A person is provided with appropriate training, instruction and supervision to use EWP
- Other
- Not Possible
-
Can measures be put in place to minimise the consequences of a fall?
- Use a harness attached to an anchor before climbing from a Scissor Lift onto a Bucket, Tank, Truck Body or other object at height
- Use rails or a "catch" platform
- Other
- Not Possible
-
Stop the task until you have approval
- Foreman/Production Manager Signed off on Task
- Stop task until safe controls can be put in place
-
Does the task need to be done? Is there another way to do the task that removes the extreme level of risk? Use equipment designed for the task.
-
Follow Up Questions
-
Are workers provided with appropriate fall protection equipment?
-
Why does the task not require fall protection?
-
Provide evidence that fall protection has been provided or not required (e.g. worker will remain in Scissor Lift)
-
How would you rate the housekeeping practices in the areas where working at heights is performed?
-
Is the fall protection equipment inspection tag in date?
-
Is there a designated competent person (Trained in Working at Heights) responsible for overseeing working at heights activities?
-
Stop task until a trained person can supervise
-
Provide an example of proper anchorage points for fall protection systems.