NCIG - PTO - Using A Fall Arrest System

• Audit Title/Client/Date (reverse order)

• Prepared by

• Location
  Address

• Personnel

EVALUATION

• Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?

  Yes

  No

  N/A

• Do all persons appear to understand the requirements of the JSEA & have signed off?

  Yes

  No

  N/A

• If persons are not working within two metres of an unprotected open edge from which the person could fall, have control measures been implemented to prevent the person from falling, or if the prevention is not practicable:

• If the person can not fall more than 2 metres has the risk been considered & if necessary, controls implemented to reduce the risk to an acceptable level?

  Yes

  No

  N/A

• If the person is working above 2 metres, have measures been taken to arrest the workers fall?

  Yes

  No

  N/A

• Is there documented evidence that anchorage points were designed by an engineer or deemed suitable by a competent person?

  Yes

  No

  N/A

• Does the system have a device to absorb the energy of a falling person?

  Yes

  No

  N/A

• Has the system been installed, maintained & used in accordance with the manufacturer or suppliers' instructions, or those instructions given by an engineer or competent person?

  Yes

  No

  N/A

• Is there documented evidence that the system is inspected & tagged by a competent person every month?

  Yes

  No

  N/A

• Do the system components show no evidence of wear or weakness?

  Yes

  No

  N/A

• Is each anchorage point located so that a person can attach to it before they are at risk of falling?

  Yes

  No

  N/A

• Is there enough distance available for a person using the system to fall to prevent the worker hitting an object, the ground or another surface other than a vertical surface?

  Yes

  No

  N/A

• Has it been checked that no part of the system will come into contact with anything that will affect the safe use of the system?

  Yes

  No

  N/A

• Are post fall recovery methods (rescue plan) documented, communicated & practical?

  Yes

  No

  N/A

• Is the system not being used when the employee is working alone?

  Yes

  No

  N/A

• Are there any other risks or issues associated with the activities observed?

  Yes

  No

  N/A

• Location of Observation

• COMMENTS & RECOMMENDATIONS

• Comments & recommendations to be actioned by

• Signature of observer

  Sign