Work at Height Checklist - Aviva Loss Prevention Standard - V1.0

• Conducted on

  Date

• Prepared by

• Location
  Address

• The view our Loss Prevention Standard that supports this checklist, please view the following link: https://connect.avivab2b.co.uk/documents/view/aviva_work_at_height_lps.pdf

Work at Height Checklist

• 1. Is there a suitable and sufficient risk assessment in place for all work at height activities?

  Yes

  No

  N/A

• 2. Is work at height avoided wherever possible?

  Yes

  No

  N/A

• 3. Do accident and near miss reports correctly identify work at height as a distinct cause category?

  Yes

  No

  N/A

• 4. Do investigations identify root causes effectively and implement appropriate remedial action?

  Yes

  No

  N/A

• 5. Are there arrangements in place to ensure all access equipment is correctly used and suitably maintained?

  Yes

  No

  N/A

• 6. Are training and competency records maintained and are they up to date?

  Yes

  No

  N/A

• 7. Is there an inventory and inspection of all work at height equipment, e.g. ladders, step ladders, mobile access platforms, and are appropriate records maintained?

  Yes

  No

  N/A

• 8. Is there an effective defect reporting and repair process in place?

  Yes

  No

  N/A

• 9. Is a permit to work issued for high hazard work at height, e.g. roof work?

  Yes

  No

  N/A

• 10. If hot work is required on a roof, is a hot work permit in place where applicable?

  Yes

  No

  N/A

Completion

• Comments

• Completed by (Name and Signature)

  Sign

• Please Note:
  
  This document contains general information and guidance only and may be superseded and/or subject to amendment without further notice. Aviva has no liability to any third parties arising out of ARMS' communications whatsoever (including Loss Prevention Standards), and nor shall any third party rely on them. Other than liability which cannot be excluded by law, Aviva shall not be liable to any person for any indirect, special, consequential or other losses or damages of whatsoever kind arising out of access to, or use of, or reliance on anything contained in ARMS' communications. The document may not cover every risk, exposure or hazard that may arise and Aviva recommend that you obtain specific advice relevant to the circumstances.