VOA - WORKING AT HEIGHTS INSPECTION CHECKLIST

• Van Oord Australia - Darwin Dredging Project

• Name of location of inspection:

• Type of inspection completed and if Safety Rep Present:

• Prepared by

• VAN OORD AUSTRALIA

• Project No: 36.3096

• WORKING AT HEIGHTS INSPECTION CHECKLIST

• 36.3096-HSS-FT-013

Names of people completing inspection

• Name, Position & Signature

  Sign

• Company work for:

• Photo of Area Inspected

  Media

• Date and time of inspection:

  Date
• Location
  Address

• Is a health and safety representative (HSR) present?

  Yes

  No

  N/A

• Name of representative:

• No representative with crew

  Representative not available

• PLEASE KEEP IN MIND THE FOLLOWING ITEMS BEFORE YOU FILL IN THE CHECKLIST
  - SAILING AREA
  - NUMBER OF SEAT AVAILABLE

• Is the work really necessary?

  Yes

  No

  N/A

• Have you nominated a competent person to take charge of the work?

  Yes

  No

  N/A

• Have you nominated the person (s) who will be involved in the work?

  Yes

  No

  N/A

• Have you planned the work so that everyone involved knows exactly what is to be done?

  Yes

  No

  N/A

• Has the means of access been identified?<br>(mobile elevating work platform, ladders, step-ladders, mobile scaffold etc.)

  Yes

  No

  N/A

• Is the mean of access the best choice for the short term duration of work?

  Yes

  No

  N/A

• Is the access equipment in good condition and been checked by the competent person?

  Yes

  No

  N/A

• Is the area where the access equipment is to be used free from obstacles at both ground and high level?

  Yes

  No

  N/A

• Is the floor area flat, stable and in good condition?

  Yes

  No

  N/A

• If the work is to be outside, have you considered the weather conditions?

  Yes

  No

  N/A

• Have and fragile surfaces been identified and the relevant instructions to avoid them been given?

  Yes

  No

  N/A

• If using ladders, can they be secured at the top and the bottom?

  Yes

  No

  N/A

• If using step-ladders, are they fitted with a handrail and working platform?

  Yes

  No

  N/A

• If using a mobile scaffold, is it fitted with a suitable platform, toe boards, a handrail and are the wheels lockable

  Yes

  No

  N/A

• Has the area where the work is to be one been cordoned off to keep other people away from the area?

  Yes

  No

  N/A

• Has the person carrying out the work been trained in the use of the access equipment?

  Yes

  No

  N/A

• Has Personal Protective Equipment been provided, and it is being worn?

  Yes

  No

  N/A

• Are arrangements in place to deal with the likelihood of failing objects?

  Yes

  No

  N/A

• Are arrangements in place to deal with an emergency situation?

  Yes

  No

  N/A

• Are satisfied that measures have been taken to prevent a fall from height?

  Yes

  No

  N/A

• If the work is continuous, but at different workplaces, have instructions been given to repeat this check each time?

  Yes

  No

  N/A

• Other?

  OK

  NOT OK

  N/A

Close out of corrective actions

• Have all deficiencies identified and documented on the inspection checklist been rectified:

  Yes

  No

  N/A

• Corrective actions list

Corrective action

• Finding?

• Action?

• Champion?

• Expected completion date?

  Date