Work at Heights Risk Review

• Site conducted

  Select

• Conducted on

  Date

• Inspection completed by

• Signature

  Sign
• Site Location
  Address

• Are workers on site aware of the Programmed Safe Work Essential for work at heights?

  Yes

  No

  N/A

• Has a risk assessment been conducted/reviewed at the time of works to ensure all current hazards with the work and location have been identified and controlled?

  Yes

  No

  N/A

• When identifying controls, has consideration been given to the working at heights hierarchy of controls (eg temporary work platforms considered before ladders)?

  Yes

  No

  N/A

• Has a rescue plan been developed and communicated for work at heights activities where fall arrest or restraint devices are used?

  Yes

  No

  N/A

• Have workers received instruction and training in work at heights and do they have appropriate licenses/certifications/competencies for equipment they are using?

  Yes

  No

  N/A

• Are anchorage points for fall arrest devices positioned to ensure that in the event of a fall, the worker will neither swing nor touch the ground?

  Yes

  No

  N/A

• Where dedicated anchor points are not available and alternative means of temporary anchoring are used, have these been approved by a competent person?

  Yes

  No

  N/A

• Have work platforms and scaffolds been inspected by a competent person before use and do they include complete floors, handrails, edge protection, barricades and toe boards?

  Yes

  No

  N/A

• Is there evidence that fall prevention equipment has been inspected before use and is routinely inspected and tagged as required (i.e. equipment registers, inspection schedules etc) ?

  Yes

  No

  N/A

• Where overhead work is being conducted, are tool lanyards used and have barricades been erected/employed around and/or below the work area to segregate and protect other people in the area from falling objects?

  Yes

  No

  N/A

• Where ladders are used, are they fit for purpose, rated industrial and set up correctly (i.e. non-metallic for electrical work, good condition, secured correctly??

  Yes

  No

  N/A

• Where there are fragile roof areas/sky lights, are warning signs and temporary/permanent walkways installed to provide safe access and egress?

  Yes

  No

  N/A

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• Is there Actions/Recommendations?

  Yes

  No

• Actions/Recommendations:

• ProSafe reference number:

• Employees consulted: