PERMIT TO WORK - ABSEILING

Title Page

Site conducted
Permit number
Location
Site emergency phone numbers
Conducted on
Prepared by
Contractor
Contractor Supervisor
Name(s) of the operative(s) - only named operatives will be allowed access
Contact(s) of the operatives(s) - mobile phone number(s)
Access Fobs and access keys requested
Location of work

Works

Description of work to be carried out
Are there other practicable alternatives to ABSEILING? (if yes prohibit work at height)
Refer to Facade Access & Maintenance doc attached
Is the Contractor approved through Permissions Process and documentation approved?
It is a Living by Lendlease requirement that the FM Team, checks the performance of the contractor at least once during the permitted works – have you time to do this monitoring? (if not the work should not proceed)
Does the Method statement follow the exact requirements of Living by Lendlease SOP 05 14 Rope Access (Abseiling)? (If it does not, then you need to return to the Contractor for revision and notify the EHS Team).
Refer to RAMS doc attached

Specific Safety requirements before commencing work

The Contractor is an approved supplier and approved for Abseiling for Living by Lendlease (if in doubt ask) <br>Living by Lendlease requirements are COMPANY membership of IRATA and only certified IRATA 2 and 3 Operatives<br>If the contractor is not an approved supplier and approved for Abseiling the work shall not be allowed to be undertaken<br>
Evidence has shown regarding IRATA Membership of individuals?
Are they an approved supplier and for abseiling work?
Are the correct numbers of operatives as per the Method Statement on-site? (If the team is short then the activity should not be allowed to begin)
Emergency Procedures deal with all scenarios including working on each elevation and all scenarios where abseiling may need rescues
Operatives are aware of the rescue procedures that they have in place for this building
Operatives are aware of the Isolation services location for this building
Reporting procedures in place, contact numbers and radios have been issued
Safety Zone has been created
Slings are in good condition
Appropriate measures have been taken to protect others from falling materials or objects
Wind speed readings to be taken and recorded: wind speed must not exceed* mph. m/s (insert as per risk assessment) in the immediate vicinity of the work

Equipment

Harnesses must be worn at all times whilst working and in the roof area
Confirmation that all Rig Locations have been tested and fit for purpose
Do operatives have the PPE listed on the Method Statement and Risk Assessment?
Other protective equipment being used such as warm clothing, waterproofs, hearing or eye protection, gloves etc;
Details of a thorough examination by a competent person and where this is recorded (if not on-site with the equipment (in an equipment log) then this needs to be detailed in the method statement);

Get the contractor to show you that:

Ropes are long enough for the task and properly protected
The steel structure is sound and that any bolts are secure. (only approved anchor points a level 3 IRATA training operative should approve anchor points)
Where the thread and bolt are visible that the nut is tight
That all Karabina screw gates are closed
Davit Arms and Davit Sockets are tagged and in date

Safety Confirmation

Confirmation that there are no reasonably practicable alternatives to this work to make it safer?
Permit Starts
Permit Ends

Acknowledgement of Permit to Work Conditions

The holder of the permit is the employee of a company that has been appointed in accordance with Living by Lendlease procedures or is an authorised employee of Living by Lendlease
The holder of the permit complies with the restrictions and conditions detailed in the permit and attached to it (where applicable)
The holder of the permit complies fully with all the requirements of the documents HSE Requirements for Contractors, Environmental Site Rules for Contractors, Health and Safety Policy, Environmental Policy
The holder of the permit ensures that he/she/they (or his/hers/their employees as appropriate) are provided with means of communication in the event of an emergency whilst on this site
Any change in the scope of work or failure to follow conditions identified in this Permit will automatically invalidate the permit. All proposed changes must be notified to the person who issued the permit (Authorised Person)
The Permit cannot be transferred between contractors or shifts. In such cases, a new Permit will be issued.
In an emergency, the permit holder should follow site emergency procedures. In such cases, the permit will automatically become void and a new permit will need to be issued before work can start again.
Where work is suspended for any reason, the permit will automatically become void and a new permit will be needed before work can start again.
I understand the scope of works, Living by Lendlease Conditions of issue and precautions agreed to be undertaken.
Permit holder signature
Contractor

Extension of Permit to Work

Time Extension
Start
End
Reason for Extension
Authorised person signature
Contractor Supervisor signature

Clearance

Safety Zone has been removed and any equipment returned to stores
Confirmation of any isolation of services are cancelled
All waste materials, equipment and materials have been removed from the roof area in a safe manner
All equipment returned (Radios, Keys) and any faults reported
Contractor Supervisor signature
Date & Time

The Permit is now cancelled

Authorised person signature
Date & Time

PERMIT TO WORK – MONITORING SITE STANDARDS

Were any poor health and safety practices identified?
Did you have to prohibit work or give any official warnings?
Was work being carried out in accordance with the Permit to Work?
Was work being carried out in accordance with risk assessments and method statements?
Did contractors have copies of the Permit to Work?
Was the contractor complying with the site rules?
Was the work area suitably protected i.e. fenced / barriered and adequate safety signage provided?
Was housekeeping acceptable?
Completed by:
Position:
Date: