Information

  • Team

  • Conducted on

  • Prepared by

  • PLEASE READ AND SIGN TO CONFIRM YOU HAVE RECEIVED AND UNDERSTAND THESE PROCESS'

Use of Anchors Positioned at Base of Wall and Ground Level

  • I understand that this process should only be utilised where the standard safe systems of work cannot be followed.

  • I fully understand the process for use of a low level eyebolt.

  • I fully understand the process for use of a ground anchor.

  • I understand that I must escalate to my team or buddy manager and or Health and Safety advisor before utilising either method described in this brief.

  • I understand that all other safe systems of work and PPE must still be used as trained.

Accessing an S Pole or T & K Positioned at a Gable End

  • I understand that this process should only be utilised where the standard safe systems of work cannot be followed.

  • I fully understand the process for using an S Pole bracket as an anchor.

  • I fully understand the process for using a T & K bracket as an anchor.

  • I understand that I must escalate to my team or buddy manager and or Health and Safety advisor before utilising either method described in this brief.

  • I understand that all other safe systems of work and PPE must still be used as trained.

Use of Existing Bracketry to Secure Ladders

  • I understand that this process should only be utilised where the standard safe systems of work cannot be followed.

  • I understand that I must escalate to my team or buddy manager and or Health and Safety advisor before utilising either method described in this brief.

  • I fully understand the process for securing ladders to a dish bracket.

  • I fully understand the process for securing ladders to an S Pole.

  • I fully understand the process for securing ladders to a T & K

  • I understand that all other safe systems of work and PPE must still be used as trained.

Signature Confirmation of Full Understanding

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Engineers Name

  • Team Manager

  • IF FOR ANY REASON YOU FEEL UNABLE TO CONFIRM UNDERSTANDING OR COMPETENCE IN CARRYING OUT THESE PROCEDURE, PLEASE DETAIL WHY BELOW, ALONG WITH ANY COACHING OR SUPPORT YOU BELIEVE WOULD BE OF BENEFIT.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.