Inspection Details

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

Company work for:

Photo of Area Inspected
Date and time of inspection:
Location

Is a health and safety representative (HSR) present?

Name of representative:

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

Inspection Checklist

Is the work really necessary?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Are arrangements in place to deal with an emergency situation?

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

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

Other?

Close out of Corrective Actions

Close out of corrective actions

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

Corrective actions list

Corrective action

Finding?

Action?

Champion?

Expected completion date?
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.