Work at Height Check Sheet

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date of Inspection

  Sign

• Type of Work:

• Location:

Location:

• Type of Access Equipment:

Competencies.

• WAH training recieved for operatives.

  Yes

  No

  N/A

  Safe

Competencies

• Are Pasma Trained operatives installing towers onsite, provide proof.

  Yes

  No

  N/A

  Safe

Site Activities

• Housekeeping on site, site cordoned off?

  Yes

  No

  N/A

  Safe

• Are there approved method statements and risk assessments/safe systems of work available for work at height?

  Yes

  No

  N/A

  Safe

• Method Statement/SSI on site with relevant information for working at heights in place. All Risk assessment on site pertaining to WAH

  Yes

  No

  N/A

  Safe

• Have all mobile access towers been inspected and scaff tag signed off by a competent person before first use?

  Yes

  No

  N/A

  Safe

• Are the operatives using the working at height equipment correctly in compliance with the control measures listed in the risk assessment?

  Yes

  No

  N/A

  Safe

• Are all mobile towers fitted with self-closing hatches?

  Yes

  No

  N/A

  Safe

• Are mobile access towers positioned with locking wheels or base plates placed on outside of running rails to prevent slipping into suicide pit – are stabilisers fitted for stability?

  Yes

  No

  N/A

  Safe

• Is there sufficient lighting in and around the scaffold to ensure

  safe

  working

• On track ballast location are base plates in use with sole boards underneath – are stabilisers fitted for stability?

  Yes

  No

  N/A

  Safe

• Are manufactures installation instructions for mobile towers availible onsite.

  Yes

  No

  N/A

  Safe

• Where required is there clear and unobstructed access routes around built up mobile towers, podium step ladders and hop-ups?

• Where the height of the mobile tower scaffold is above the manufacturers’ recommendations (e.g. 3 times the minimum base width), is it properly secured to the structure and/or outriggers used?

• For podium step ladders are the in-built stabilisers in use; has operative closed gate on working platform?

  Yes

  No

  N/A

  Safe

• For podium hop-ups and depending on height are stabilisers in use to prevent lateral tipping over of equipment; has operative closed guard rail on working platform?

  Yes

  No

  N/A

  Safe

• For mobile tower scaffolds – are users accessing it safely via internal stairs/ladders?

  Yes

  No

  N/A

  Safe

• Are fall prevention/protection devices being used where alternative means of providing protection are not available?

  Yes

  No

  N/A

  Safe

• For towers partly erected and unattended, do they carry a safety note: ‘incomplete/do not use’?

  Yes

  No

  N/A

  Safe

• Are platform steps available for track access?

  Yes

  No

  N/A

  Safe

• If step/ladders are being used, how long is the user actually working on the step/ladder (work using step ladder should not last more than 30minutes at a time and must be stated in the approved works method statement/safe system of work)?

  Yes

  No

  N/A

  Safe

• Is the step/ladder in good condition visually e.g. undamaged stiles, rungs, feet, platform etc?

  Yes

  No

  N/A

  Safe

• Is the step/ladder on firm/level ground, where the feet can grip the surface and prevented from slipping/overturning?

  Yes

  No

  N/A

  Safe

• Is the user overreaching (i.e. not keeping navel within the stiles)?

  Yes

  No

  N/A

  Safe

• Is the user carrying heavy/awkward items?

  Yes

  No

  N/A

  Safe

• Is the user maintaining three points of contact whilst working off the ladder?

  Yes

  No

  N/A

  Safe

• Is the user working from the top three rungs?

  Yes

  No

  N/A

  Safe

• General Comments:

• Date:

  Date

• Name:

  Sign