Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Q1. Does your Risk Assessment process cover all anticipated working at height situations?<br>

  • Q2. Are all employees who are required to work at height and those who supervise them trained and competent. (Records required)?

  • Q3. Is there a list showing all personnel permitted to work at height on potentially hazardous tasks?<br><br>

  • Q4. Is all working at height access and safety equipment identified and tested (with records available) at least annually to ensure it is suitable and fit for purpose?<br><br>

  • Q5. Does all work at height have a known Safe Working Procedure or is subject to a Permit to Work?<br>

  • Q6. Do you have established emergency and rescue procedures to assist those who have to work at height?<br><br>

  • Q7. Do all Employees and Contractors who have to work at height have a Permit to Work that identifies safety control measures?<br>

  • Q8. Do control measures for activities on the roof systematically prioritize collective protection?<br>

  • Q9. Do you monitor, audit and review your arrangements for working at height?<br><br><br>

  • Q10. Is a named person responsible for reviewing all working at height arrangements (program administrator)?<br><br><br><br>

  • Q11. Is there a procedure for employees to report any hazards such as medical conditions, adverse weather conditions, or faulty equipment they may encounter?<br><br><br><br>

  • Q12. Is sufficient fall prevention (or as a last resort- fall arrest) equipment and training supplied where people have to work at height?<br><br>

  • Q13. Are the users of safety harness trained (how to check it, how to wear, adjust and connect it, how to store it, ...) ?<br><br><br>

  • Q14. Are the concerned employees trained to use safely a ladder?<br><br><br>

  • Q15. Have all roofs, elevated walkways, and platforms been assessed as safe or unsafe?<br>

  • Q16. Are the skylights (on roof) protected?<br>

  • Q17. Have all roofs, elevated walkways, and platforms been maintained to prevent corrosion of structural components (paint, leak repair, etc.)?<br><br>

  • Q18. Are all roof and other high risk elevated work area access points “secured” with the display of the specific rules access on the Roof at each access?<br><br>

  • Q19. A roof map of the elevated structures and roofs has been created and regularly update indicating which areas are safe, which areas are unsafe?<br><br>

  • Q20. Are all roofs with fragile materials, with load bearing restrictions, or questionable structural integrity clearly identified and is access physically and visually restricted?<br><br><br>

  • Q21. Are the operators of mobile access platforms trained by authorised instructors and licensed to operate the equipment?<br><br><br>

  • Q22. Is fall arrest equipment available and used by all personnel on mobile access equipment?<br><br><br><br>

  • Q23. Are ladders and step ladders (A-frame) only used by personnel who have been trained in their permitted application and use?<br>

  • Q24. Are all temporary access platforms (scaffolding) erected by trained, and authorised personnel?<br><br><br><br>

  • Q25. Do all erected temporary access platforms display a sign that clearly indicates if they are safe or unsafe to use?<br><br>

  • Q26. Do vertical ladders have a fitted safety cage if they are over 2.5 metres in height. If they are positioned at height is additional protection fitted if a fall is possible?<br><br><br><br>

  • Q27. Do platforms and walkways at height have suitable substantial barriers at least 1100mm above the platform?<br><br><br><br>

  • Q28. Have all stairways over 3 steps been fitted with suitable handrails?<br><br><br><br>

  • Q29. Have all personnel working at height on vehicles a safe operating procedure which includes safe access?<br><br><br><br>

  • Q30. Is there a procedure to safeguard personnel working below those working at height? For example barricades to prevent access?<br><br><br><br><br>

  • Q31. Is the maximum distance of a potential fall protected by a fall arrest system- 2 metres or less?<br><br><br><br><br>

Closure

  • Tertanda, Auditor

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.