WORKING AT HEIGHT HAZARD IDENTIFICATION

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Roof access

• Are contractors and staff required to access the roof for maintenance reasons?

  Yes

  No

  N/A

• What is the reason for contractors accessing the roof? (E.g air con maintenance, gutter cleaning)

  Yes

  No

  N/A

• How is the roof accessed?? Discuss with the staff member how the contractor accesses the roof area (Look for ladder access points, fixed ladders) Please take a picture of the roof access point if possible and include in this section.

  Yes

  No

  N/A

• Is there a fixed ladder installed to access the roof? Or is a portable ladder required?

  Yes

  No

  N/A

• Does the contractor provide their own portable ladder? Or is it provided by the YMCA?

  Yes

  No

  N/A

• Is the portable ladder appropriate for the task (appropriate length) is it in good working order?

  Yes

  No

  N/A

• Is the ladder access point area restricted from staff and public?

  Yes

  No

  N/A

• Are contractors accessing the roof appropriately qualified? Please list the contractors authorised to access the roof and if qualifications are available

  Yes

  No

  N/A

• Are contractors exposed to a unprotected edges when they access the roof?

  Yes

  No

  N/A

• If a contractor was to fall off the roof how far would they fall?

  Yes

  No

  N/A

• Is there a heights safety system available?

  Yes

  No

  N/A

• What are the key risks associated with contractors accessing the roof? What is the overall risk rating

  EXTREME

  HIGH

  MEDIUM

  LOW

  N/A

Heights Safety Systems

• What type of heights safety system is available on the roof? (Refer to heights info sheet)

  Yes

  No

  N/A

• How often is it accessed by contractors or staff members?

  Yes

  No

  N/A

• What is the purpose of the heights safety system? Why was it installed? (air con maintenance, gutter cleaning etc)

  Yes

  No

  N/A

• When was the heights safety system installed?

  Yes

  No

  N/A

• Is there an operations manual or procedure available?

  Yes

  No

  N/A

• Has the system been serviced within the last 12 months?

  Yes

  No

  N/A

• If there is anchor points on the roof, have they been load tested in the last 12 months (Documents must be provided)

  Yes

  No

  N/A

• What are the key risks associated with the heights safety system? What is the overall risk rating?

  EXTREME

  HIGH

  MEDIUM

  LOW

  N/A

General Ladder use

• Are staff members required to use ladders to perform tasks? (Light maintenance, basketball ring maintenance, hanging posters etc) please list all tasks

  Yes

  No

  N/A

• Is the ladder used appropriate to the task being performed?

  Yes

  No

  N/A

• Is there a checking system in place to ensure the ladder is in good working order?

  Yes

  No

  N/A

• Is there a 2 person system in place for ladder use (e.g. One person supervising/supporting the ladder?)

  Yes

  No

  N/A

• Is there a ladder use risk assessment and safe work procedure available?

  Yes

  No

  N/A

• Where is the ladder stored? Can it be accessed by casual weekend staff?

  Yes

  No

  N/A

• Have staff members been trained in ladder use? Is there documented evidence of this?

  Yes

  No

  N/A

• Are there any tasks in the facility that require staff members to climb up a fixed ladder? (Checking filters? Accessing plant etc)

  Yes

  No

  N/A

• Is the ladder compliant with Australian Standards? Is there a process in place for checking?

  Yes

  No

  N/A

• Is there a risk assessment and safe work procedure available?

  Yes

  No

  N/A

• Are staff members trained in the safe work procedure?

  Yes

  No

  N/A

• What are the key risks associated with general ladder use? What is the overall risk rating?

  EXTREME

  HIGH

  MEDIUM

  LOW

  N/A

Working at heights permits

• Is there a YMCA staff member on site that is competent in issuing working at heights permits? (E.g. Have they participated in the YMCA working at heights training?)

  Yes

  No

  N/A

• Is there evidence of working at heights permits being completed? (Please review completed working at heights permits)

  Yes

  No

  N/A

• Does the YMCA staff member feel confident in issuing permits? Or is further training required?

  Yes

  No

  N/A

• What are the key risks associated with the permit system? What is the overall risk rating?

  EXTREME

  HIGH

  MEDIUM

  LOW

  N/A