SBC Plasterer Stilts Permit - Rev A

• Subcontractor Company

• Completed on

  Date

• Completed by

• Document No.

Work Zone Details

• House or Unit number and work zone.

Personnel Present During Inspection

• Strongbuild Representative

• Stilt Worker

Is The Area "Plaster Ready"?

• Floor surfaces are solid and level

  Yes

  No

  N/A

• Floor surfaces are cleared of building materials, swept and dry

  Yes

  No

  N/A

• Electrical cables ( rough-in cables from ceilings and walls ) are secured

  Yes

  No

  N/A

• Electric extension leads are clear of the work area

  Yes

  No

  N/A

• Voids (eg stairwells) and windows that may be hazardous are guarded for stilt work

  Yes

  No

  N/A

• Floor penetrations are securely covered

  Yes

  No

  N/A

• Plastering works are the only works underway in the immediate work area

  Yes

  No

  N/A

• Workers (besides workers assisting the stilt worker) are excluded from the work areas by barricading/taping off

  Yes

  No

  N/A

Is The Task Suitable For Stilts?

• The tasks to be completed are light duty tasks (eg set and sand)

  Yes

  No

  N/A

• The task can be completed without the stilt worker bending down below knee level

  Yes

  No

  N/A

• The task can be completed without the stilt worker overreaching sideways.

  Yes

  No

  N/A

• The task on stilts will take less than two hours (or the task can be broken into two hour blocks)

  Yes

  No

  N/A

• Ceiling heights are no greater than three metres

  Yes

  No

  N/A

• Tools to be used while on stilts are appropriate and compatible

  Yes

  No

  N/A

Preparation

• Identification of hazardous manual handling has been completed

  Yes

  No

  N/A

• Manual handling risk controls implemented

  Yes

  No

  N/A

• Stilt workers are competent in the use of stilts

  Yes

  No

  N/A

• The stilts have been visually checked prior to mounting and are in good condition

  Yes

  No

  N/A

• Stilt workers are not tired and are physically capable of performing the assigned task

  Yes

  No

  N/A

• There is a suitable, rigid mounting/dismounting platform (a step ladder is unsuitable)

  Yes

  No

  N/A

• Steps have been taken for waste material produced during the plastering process to be promptly cleared away

  Yes

  No

  N/A

Verification

• The work zone(s) have been jointly inspected by the Strongbuild supervisor and the stilt worker and found suitable for stilt use.
  If any of the above conditions change during the execution of the works the stilt worker has agreed to stop work and notify the Strongbuild supervisor and implement agreed control measures.
  

• Photos

  Media

• Strongbuild Representitave

  Sign

• Stilt Worker

  Sign