QAL - Critical Control Checklist - Working at Heights

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Contractor / Work Group

• Location
  Address

• If 'NO' is selected for any of the controls - WORK MUST STOP IMMEDIATELY UNTIL THE CONTROL IS IN PLACE AND VERIFIED

CONTROL: Edge protection; including guardrails and fixed or portable barriers, are of sufficient height and strength Purpose: Prevent persons being exposed when within 2 metres of an unprotected edge at height

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Has the hierarchy of controls been applied to eliminate or minimize the need to work at height; including the design of new buildings, plant and equipment e.g. use of extendable tools from the ground?

  Yes

  No

  N/A

• All open edges from which a person could fall have been effectively protected by barriers of sufficient height and strength to prevent people from falling?

  Yes

  No

  N/A

• All mobile work platforms, temporary works platforms, equipment or machinery used for work at height must have edge protection in place to prevent the fall of a person?

  Yes

  No

  N/A

• All Grid Mesh and flooring is securely fastened in place so it cannot be accidentally dislodged?

  Yes

  No

  N/A

• Other than arms, a worker's body mass is behind edge protection?

  Yes

  No

  N/A

• Workers remain in a position where they are not standing on the rails of Elevated Work Platform / workbox / Scaffold rungs?

  Yes

  No

  N/A

• 100% connection / tie off to transfer from Elevated Work Platform to roof or other structure at height

  Yes

  No

  N/A

• Secure toe boards in place, well maintained and effective?

  Yes

  No

  N/A

• Scaffold tag in date / handover certificate for all scaffold?

  Yes

  No

  N/A

CONTROL: Fall restraint and arrest systems are designed, installed, operated and maintained in accordance with the manufacturer’s instructions Purpose: To prevent equipment failure and incorrect use of fall restraint and arrest systems

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Current test tag?

  Yes

  No

  N/A

• Fit for purpose equipment, in good condition, inspected before use (no damage, no fall indicator exposed)?

  Yes

  No

  N/A

• Worker wearing harness correctly adjusted to fit?

  Yes

  No

  N/A

• Full body harnesses that incorporates shock absorbing lanyards or inertia reels?

  Yes

  No

  N/A

CONTROL: Suspended walkways and flooring are securely fastened Purpose: To stop inadvertent movement of suspended walkways and flooring

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Support clamps / welded / in place?

  Yes

  No

  N/A

• Scheduled inspections carried out to confirm grid mesh and flooring is secured?

  Yes

  No

  N/A

CONTROL: Ensure stable ground conditions when using portable work platforms and ladders PURPOSE: To prevent uncontrolled movement of a portable platform or ladder

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Stable, even and clean surface?

  Yes

  No

  N/A

• Ground conditions suitable for work platforms and ladders?

  Yes

  No

  N/A

• Are boards and stabilizing equipment being used when required?

  Yes

  No

  N/A

• Ground conditions assessed to ensure there are no pits or holes?

  Yes

  No

  N/A

CONTROL: Exclusion Zone PURPOSE: To prevent workers being exposed to falling objects

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Clear barrier system in place?

  Yes

  No

  N/A

• Signage, expanding barriers, tape, barrier mesh or spotter in place to monitor exclusion zone?

  Yes

  No

  N/A

• No persons in exclusion zone?

  Yes

  No

  N/A

• Only essential tools being used at height (Tools are secured by tether or within tool bag)?

  Yes

  No

  N/A

• Chin straps being used when person or helmet could fall from height?

  Yes

  No

  N/A

CONTROL: Secured work site PURPOSE: To prevent 3rd party exposure to falling objects

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Clear delineation of work site Fencing (temporary/permanent), locked gates, signage?

  Yes

  No

  N/A

• Spotter for high-risk work activities / location?

  Yes

  No

  N/A

CONTROL: Do not access fragile roof areas PURPOSE: To prevent worker access to fragile roof areas

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Access points (cage/gate) locked out / danger tagged / signage in place?

  Yes

  No

  N/A

• Spotter in place for high-risk work activities / location?

  Yes

  No

  N/A

CONTROL: Spotter in place for mobile plant when in the vicinity of a work platform PURPOSE: To prevent uncontrolled movement or impact of mobile plant used near working platform

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Dedicated spotter in place?

  Yes

  No

  N/A

• Electronic devices or mobile phones are not being used?

  Yes

  No

  N/A

• Operators of mobile plant are focused on the primary task?

  Yes

  No

  N/A

CONTROL: Emergency Response PURPOSE: To minimise the impact of a fall from height or falling object on human life

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Rescue plan completed and communicated?

  Yes

  No

  N/A

• Diagram / explanation of rescue responsibilities?

  Yes

  No

  N/A

• Rescue plan rehearsed?

  Yes

  No

  N/A

• Rescue equipment (tripod, winches, harness, first aid kit, communication device) in place?

  Yes

  No

  N/A

CONTROL: Secondary protection Device on Elevated Work Platforms (EWP's) PURPOSE: To prevent accidental activation of EWP control levers and/or to supply a safe zone to prevent crush injuries

• Tick "Yes" if applicable

  Yes

  No

  N/A

• Protective structures: EWP is fitted with a device attached or fixed to the existing guardrails that provides a protective barrier around the operator?

  Yes

  No

  N/A

• Sensing devices: a device activated by force or pressure that stops the movement of the EWP to minimise harm is fitted?

  Yes

  No

  N/A

Additional Information

• Comments: