Title Page
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Site conducted
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Area conducted
- PVC
- Glass
- PCW
- Panel Shop
- Composites
- Old Glass Factory
- Stores
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FSR - Working At Height
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Conducted on
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Observers
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Location - (Description or Cell number)
Documentation
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<br>Are the Training Records of the Operator available and within date?
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Stop process immediately & Raise to area PL
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<br>Have all Kamishibai Checks been completed for area?
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<br>Is the Activities Risk Assessment in Date and Available?
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Raise to area PL & Action to update on accountability tracker
Critical Controls
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Is appropriate access equipment being used?
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Stop process immediately and raise to relevant manager
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Is access equipment powered?
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Are pre-use inspections complete and readily available?
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Raise with relevant dept manager and raise internal NCR
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Document NCR number
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On platforms are guard rails and toe-boards in place that prevent or reduce potential for injury?
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Raise with relevant dept manager and raise internal NCR
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Document NCR number
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Is access equipment free from damage?
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Stop process immediately and raise to relevant manager
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Is access equipment tagged and in date?
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Stop process immediately and raise to relevant manager
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Is relevant PPE being used whilst working at height task is being completed?
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Stop process immediately and raise to relevant manager
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Are harnesses being worn where required (roof/platform work)?
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Raise with relevant dept manager and raise internal NCR
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Document NCR Number
Process Controls
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Are all activities carried out in accordance to risk assessment and safe system of work?
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Risk Assessment Number or SSW number
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Stop process immediately and raise to relevant manager
Achievement of intended outcome
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Based on the outcome of this audit, do you consider this activity to be controlled effectively to remove/reduce any fatal/severe risk to any person(s)?
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Give evidence
Sign Off
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Signature
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Date and Time of signature
