Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Working at
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Add signature
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Site & Location:
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Select date
Work Areas (Inspect)
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Guard rails: top rail 900-1100mm above working surface, mid rail and tow boards are in place<br>
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Fall protection anchorage points rated to 15kN
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Static lines do not exceed 100m; anchorage every 10m
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Ladders: stable footing, 1:4 angle, tied off, protrude 900mm beyond level being accessed, used only for access
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All levels / areas below barricaded and sign posted
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Fall protection equipment inspected quarterly, tagged by dogman (min) & records maintained (MGL-F-057 & MGL-F-058)
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Fall protection equipment stored in dry, ventilated, off ground & out of direct sunlight.
Personnel & Procedures (ask and observe)
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Risk assessment (JHA) completed for all work at height
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Personnel have been deemed competent (records of nationally accredited / equivalent training & PAR)
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Fall protection system is used: when risk of injury from fall, working outside hand rail, working from EWP, within 2.0m of open edge, when employee feels it is required
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Process in place to transfer tools and material
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Work at height permit is authorised for all work requiring fall protection
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Appropriate fall protection is used (fall arrest or restraint)
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Personnel aware of and agree emergency rescue procedure
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All fall protection equipment is inspected prior to use & is free from defects
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PPE correctly worn: safety glasses / boots, helmet with chin strap, fall restraint/arrest adjusted correctly, other as per JHA
