Information
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Project No.
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Site Name:
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Client:
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What type of structure is being audited
- Warehouse
- School
- Shops
- Apartments
- Treatment Plant
- Water holding tank
- Shopping Centre
- Other
- Service Station
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Conducted on
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Prepared by
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Location
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Other Personnel onsite
Access to System
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How Is Access Gained To Systems
- Fold Down Access Ladder
- Fixed Access Ladder
- Fixed Ladder Support Bracket
- EWP
- Rope Access
- Other
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Name access
Data Plate
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Is there a data plate at all access points to roof?
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Photos
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Is the data plate legible?
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Is all required information on the plate?
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Date of last know inspection?
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Installation date?
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Installed by? Both company and Name of person who installed the system if known
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Manufactured by?
- Sayfa
- Safetylink
- 3M
- BTS
- other
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Note other manufafure
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System load rating?
- 15kN
- 12kN
- 1 x 136kg
- 2 x 136kg
- 3 x 136kg
- 4 x 136kg
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System ID number?
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Were any new data plates installed?
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Photos
Fixed Ladders
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Are there any fixed ladders on site.
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Do they comply with AS1657:2018?
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Photos
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Is the ladder secured appropriately?
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Are all fixings in place as per Manufacturers installation instructions
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Is there any visible damage to the ladder?
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Is there a fall arrest line on the ladder?
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If fall arrest line present include in static line section of this report
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Does the line have a shock absorber?
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If shock absorber present record details in associated equipment register
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Is the line installed in a compliant manner?
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Is there a cage on the ladder?
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If no lifeline or cage is present would one be recommended?
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Is there any other issues affecting the safe operation of the ladder?
Ladder Brackets
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Are there any ladder brackets onsite?
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How many?
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Photos
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Is the bracket installed as per the manufactures specifications?
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Have any modifications been made to the bracket or parent structure?
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With the appropriate ladder can the bracket be used to access the required area safely?
Walkways
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Are walkways present
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Do they comply to AS1657:2018?
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What type
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What brand in known
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Platforms present
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Are platforms installed correctly
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Is current layout safe to use
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What is required to platform / walkway to make compliant
Lanyards and Wire Rope
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Are there any lanyards or wire rope onsite?
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How many?
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Photo
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Has the lanyard/wire rope been damaged or modified in any way?
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Is there any deterioration in the anchorage/parent structure?
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Is the line the appropriate length for the designated task?
Fixed Anchor Points
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Is there any fixed anchor points onsite?
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Are all anchors individually tagged?
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Photos of anchor tags
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Abseil/Fall Restraint (12kN+): Are these anchors present onsite?
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How many
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Types of anchor present
- Surface mount
- Purlin mount
- Concrete
- Clamp mount
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Fall Arrest (15kN+): Are these anchors present onsite?
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How many
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Types of anchor present
- Surface mount
- Purlin mount
- Concrete
- Clamp mount
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What are the anchors fixed to?
- Steel Purlin
- roof sheet & Purlin
- roof sheet
- concrete
- bricks
- bolt through
- multiple
- other
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Please advise
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If the anchor is fixed to concrete or bricks all anchors must be pull tested to 7.5Kn for 2 Minutes
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Was a testing device used?
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If a testing device was used please provide make model and serial number
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Any signs of deterioration in the anchor or parent structure?
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Any corrosion or rust present in anchor or parent structure?
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Is the anchor damaged or deformed from usage or loading?
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Has the anchor or parent structure been modified in any way?
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Is there any other factors that would prevent the anchor holding its intended load when required?
Static Lines
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Are static lines present onsite?
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How many
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Types of lines present
- Sayfa
- Safetylink
- 3M
- BTS
- other
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Brand
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What are the lines fixed to?
- Steel Purlin
- roof sheet & Purlin
- roof sheet
- concrete
- bricks
- bolt through
- multiple
- other
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If the line is fixed to concrete or bricks all anchors must be pull tested to 7.5Kn for 2 Minuets
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Was a testing device used?
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If a testing device was used please provide make model and serial number
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Is the line tensioned appropriately?
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Are all bolts, rivets, screws and fastenings secure?
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Any corrosion or rust present in system or parent structure?
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Any corrosion or rust present in travel/attachment device?
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Is there any brittleness or fraying in the steel cable?
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Does the travel device operate smoothly along the entire system?
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Does the system have a shock absorbing device?
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Has the shock absorber been deployed or damaged in any way?
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Does the line have a working tension indicator?
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Are all joints and swages secure?
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Is there any visible cuts or dents in the system?
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Is there any other visible damages or modifications that may cause the system to fail?
Fixed Rail Systems?
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Are fixed rail systems onsite?
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How many
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Types of rails present
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Brand of rail
- Sayfa
- Safetylink
- 3M
- BTS
- other
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What are the rails fixed to?
- Steel Purlin
- roof sheet & Purlin
- roof sheet
- concrete
- bricks
- bolt through
- multiple
- other
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If the rail is fixed to concrete or bricks all anchors must be pull tested to 7.5Kn for 2 Minuets
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Was a testing device used?
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If a testing device was used please provide make model and serial number
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Are all bolts, rivets, screws and fastenings secure?
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Are all joints under the maximum allowable distance of 4mm
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Is the rail mounted as per the manufactures specifications?
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Are any bolts or connectors missing?
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Any corrosion or rust present in system or parent structure?
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Is the rail free from any contaminants?
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Is the rail free from dents, cracks, splitting and other damages?
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Any corrosion or deterioration present in travel/attachment device?
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Does the shuttle/travel device operate smoothly along the entire system?
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Is there any other visible damages or modifications that may cause the system to fail?
Other Structures for Anchoring
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Is there other structures that would be suitable for anchoring onsite?
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Photos
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Is the structure a permanent support of the building?
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Can it be accessed with ease?
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Is the structure free from dirt, grease, insects and other contaminants?
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Does the structure have any sharp edges or burrs?
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Will the structure hold a 15+kN load?
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Could slings or other rigging slip off?
Final Appraisal
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What is the result of the inspection?
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If anything besides safe for use was selected please give details
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Items to be addressed
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Photos
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Will a return visit be required? If yes provide details
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Additional notes from technician
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Technician
By Submitting this audit, the Technician has confirmed the site / systems are safe and comply to all relevent stardards uneless stated in above report.
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I Agree