Stephenson's - Rope Access Pre-work checks

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Post work checklist

• Site Name/Address:

• frequency

  Select Monthly 2 Monthly 3 Monthly 4 Monthly 6 monthly yearly one off

  • Monthly
  • 2 Monthly
  • 3 Monthly
  • 4 Monthly
  • 6 monthly
  • yearly
  • one off

• Work Order No(s):

• Haz Work Permit signed to start?

  Yes

  No

  N/A

• Wind speed (MPH):

• Have you read and understood the risk assessment and method statement for this task?

  Yes

  No

• Is the staff tags in date?

  Yes

  No

• Is the 6 monthly thorough examinations for the rope equipment in date?

  Yes

  No

• Does the anchor points have a valid, in date 6 Monthly Thorough examination certificate?

  Yes

  No

  N/A

• Do you have the equipment as specified in the in the RAMS?

  Yes

  No

• Have all team members completed the pre-use harness inspection?

  Yes

  No

• Are all staff wearing the right PPE as set out the the RAMS?

  Yes

  No

• As a safe working zone been setup using cones and batons and signs erected below and around the area of work?

  Yes

  No

• Has the correct preparations been made for the rescue plan to be implemented if needed?

  Yes

  No

  N/A

• Are all opertives using the correct edge and rope protection?

  Yes

  No

  N/A

Sign Off

• Auditor's signature

  Sign