V-HSF059 Permit To Use a Podium

• Site Conducted

  Select

• Permit No.

• Subcontractor

• Equipment ID No.

• Description of Work

• Equipment Location

• Date Valid From

  Date

• Date Valid To

  Date

The Work at Height Regulations state that all working platforms (or personal suspension equipment used instead of a working platform) must be inspected by a competent person: - Before being taken into first time use (installation/assembly) - After any substantial addition, dismantling or alteration - After any event likely to have affected its strength or stability - At regular intervals not exceeding 7 days since the last inspection

• Yes

  No

  N/A

• Risk Assessment carried out; all operatives have signed as having read and understood the contents

• Site-specific induction training carried out

• Equipment assembled by competent operatives (i.e. PASMA trained)

• Are operatives competent to work at height? i.e. CSCS card held?

• Work equipment certificates/manufacturer's literature etc. on site

• Inspection Tag issued

• I confirm that the above Subcontractor is authorised to use the equipment identified above, provided that all the controls in this form are adhered to

  Sign

• I confirm that work by myself or any person under my control will be done in accordance with this permit, all statutory requirements & Ventry Policies and Procedures. All persons involved will receive information and instruction in the requirements of this permit and safety measurements prior to work commencing. I confirm that all checks will be completed daily prior to works commencing.

  Sign

Daily Checks - Subcontractor Supervisor to inspect and sign daily

• Monday

  Sign

• Tuesday

  Sign

• Wednesday

  Sign

• Thursday

  Sign

• Friday

  Sign

• Saturday

  Sign

• Sunday

  Sign

• Work in the above location has been completed (or stopped), the equipment has been removed and all persons in my charge withdrawn

  Sign

• Inspection Tag removed and returned

  Sign

Check the Risk Assessment and Method Statement for adequacy and continuing relevance

• Check the ground is firm, stable and able to sustain the podium's weight

• Check all the castors have the brakes applied and they (or the base plates) are fully in contact with the ground and bearing an equal share of the podium's weight

• Check the steps are clear of debris and the step locks are engaged and effective

• Check the deck is damage free and clear of trip hazards

• Check the bracing follows the recommended pattern in the instruction manual

• Check the locking hooks or braces are correctly engaged

• Check the frame locking devices have been engaged and are effective

• Ensure that steps/deck are kept clean and free from any substance which may cause operatives to slip

• NB: Ensure that operatives keep the soles of their footwear free from any substance that may cause slipping on the steps/deck