Title Page

  • Conducted on

  • Prepared by

  • Location
  • 1 Steps and ladders, inspected, tagged, used appropriately?

  • 2 Tower scaffold, PASMA, used appropriately?

  • 3 MEWP, IPAF, 6 month check, harness?

  • 4 WAH, safe, edge protection in place?

  • 5 Work sheet completed, RAMS book present & referred to?

  • 6 All work equipment listed and completed tool list held?

  • 7 Tools PAT tested and / or calibrated?

  • 8 Vibration and noise controls held, understood and adhered to?

  • 9 Is the operative clean shaven with tested/suitable RPE in place.

  • 10 Are suitable controls in place for asbestos?

  • 11 Has the engineer suitably controlled all risks from the task / workplace?

  • 12 Is the engineer working safely?

  • 13 Does the operative have current company ID card with training in date?

  • 14 Is the engineer suitably competent for the works being undertaken?

  • 15 Is the engineer well presented and courteous?

  • Signature

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