SHE - Working at Height Focused Inspection

• Project

  Select

• Form Completed By

• Location
  Address

• Date / Time

  Date

Planning, Documentation and Records

• Is there a working at height / drop prevention plan in place?

  Pass

  Fail

  N/A

• Have all works at height been planned and included in a SSOW?

  Pass

  Fail

  N/A

• Are the operatives carrying out works at height trained and competent?

  Pass

  Fail

  N/A

Workplace/Site Arrangements

• Is there control measures in place for the protection of others below or near work area?

  Pass

  Fail

  N/A

• Are all working platforms safe and is there suitable edge protection in place?

  Pass

  Fail

  N/A

• Are all methods of access/egress such as scaffolding, podiums and alloy towers assembled correctly with an in date inspection tag displayed?

  Pass

  Fail

  N/A

• Are step ladders / ladders in use and is a permit in place?

  Pass

  Fail

  N/A

• Do all delivery vehicles being unloaded have suitable edge protection or fall restraint in place?

  Pass

  Fail

  N/A

• Are protection fans / crash decks in place?

  Pass

  Fail

  N/A

PPE

• Is the fall restraint / fall arrest equipment being used suitable for the task being undertaken?

  Pass

  Fail

  N/A

• Has fall restraint / fall arrest equipment been inspected and in the operative trained in its use?

  Pass

  Fail

  N/A

• Are all tools, equipment and PPE suitably tethered to the correct anchor points?

  Pass

  Fail

  N/A

• Inspection carried out by

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Additional Attendees to Inspection

• Additional attendees to inspection

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