Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Site Inspection
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Site Manager / Supervisor:-
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Signed:-
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Date:-
Requirement
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Confirm awareness that “working at height” applies to any work undertaken
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Confirm that the task/work cannot be undertaken other than working at height
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Review the risk assessment for the work and ensure suitable safe methods of working e.g. method statements, permit to work system, toolbox talks, emergency rescue/retrieval plans, etc
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Provide appropriate access and safety equipment and confirm it is maintained, tested and used as instructed and intended
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Provide suitable protection to prevent falls etc.
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Provide suitable protection to prevent falls through fragile surfaces or into holes or openings
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Confirm the access and safety equipment provided is safe to use and has been installed correctly by a competent person
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Confirm that workers are adequately trained, instructed and that they have been given sufficient information regarding the work
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Provide adequate supervision