Title Page
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Site conducted
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Plant/Area:
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Employee/Contractor Name:
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Conducted on
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Prepared By:
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Line Manager:
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Location
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Has a working at heights risk assessment been done (PTRA)?
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Has a permit been issued for working at heights (non routine)?
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Is a life-line and/or safety harness necessary for the task, and if so, has it been provided? Check if there is a potential for falling at heights. E.g. hand rails being removed for rigging activities.
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Is life-lines installed onto a secured anchor point? (Not onto equipment, process lines or cable racks etc.)
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Where a life-line is installed are employees’ harness hooked onto the life-line?
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Are 100% tie off been done when using a safety harness? (Tie-off point above shoulder where possible)
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Are tool / equipment secured and contained to prevent them from falling (Check if tool lanyards, toolboxes, buckets or bags are being used to minimise the risk of falling objects)
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Where there is a possibility of equipment falling from heights is the area below barricaded? (Drop zone)
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Is all fall arrest equipment inspected and certified?
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Are all tanker ladders in good working order?
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At loading points were tarping, loading & offloading is conducted is there a dedicated lanyard?
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Where there is loading and offloading at heights is the area demarcated for the position of the vehicle?
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Where working at heights is required are the staff training and competent?
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Comments: Where deviations have been noted, indicate the corrective action taken. Also report the matter to the supervisor. Look for other hazards that might have been missed in the risk assessment.
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Auditor's Signature
