Working At Height Risk Assessment

• Document No.

• Audit Title

• Site/Location

• Conducted on

  Date

• Site Supervisor

Risk Assessment

• Have potential or existing hazards been identified and the risks assessed of anyone falling from heights?

  Yes

  No

  N/A

• List hazards identified

• Do not commence work until Risk Assessment has been completed

• Confirm why

• Have alternative ways of carrying out the work been considered?

  Yes

  No

  N/A

• List methods identified

• Why not?

• Confirm why

• Have all practical steps been taken to prevent falls?

  Yes

  No

  N/A

• List methods identified

• Why not?

• Confirm why

• Is the ladder appropriate for the task or would another device such as a platform ladder/ scaffold/elevated work platform be more appropriate?

  Yes

  No

  N/A

• What controls are in place for safe ladder use, ladder bracket, tie-downs, etc.?

• What is required to perform the task safely?

• Do not commence work until safe access methods are confirmed.

• Confirm why

• Can three points of contact be maintained when using a ladder?

  Yes

  No

  N/A

• List methods identified

• Change access method

• Confirm why

• Are fall prevention/arrest systems required and in place?

  Yes

  No

  N/A

• List methods identified

  Select Anchor points Static line Temporary handrails Parapet wall Scaffolding Exclusion Zone Safety net other

  • Anchor points
  • Static line
  • Temporary handrails
  • Parapet wall
  • Scaffolding
  • Exclusion Zone
  • Safety net
  • other

• Specify:

• Are all workers trained and equipped properly?

  Yes

  No

  N/A

• Why not?

• Confirm why

• In setting up the fall prevention system, is it inspected to ensure sharp edges, pinch points and sources of heat which could damage the system identified and rectified?

  Yes

  No

  N/A

• What controls have been taken?

• What is required to perform the task safely?

• Do not commence work until controls are in place.

• Confirm why

• Has it been assessed whether a fall will be arrested before hitting the ground/other structure?

  Yes

  No

  N/A

• Confirm fall distance calculations

• Why?

• Confirm why

• Has equipment, anchorage points and access methods been inspected; rated; and are appropriate for the load?

  Yes

  No

  N/A

• Provide evidence

• Why not?

• Confirm why

• Is there a risk of falling objects striking people below?

  Yes

  No

  N/A

• What controls have been taken?

• What is required to perform the task safely?

• Do not commence work until controls are in place

• Confirm why

• There is safe means of access and egress to the work being performed at heights? Stairs, walkways, ladders, mechanical lifts etc are free of obstructions

  Yes

  No

  N/A

• Confirm details

• Why?

• Confirm why

• People required to work at height have been provided with adequate information, instruction and training for the work being performed

  Yes

  No

  N/A

• Provide evidence

• Do not commence work until suitable training and instructions has been provided

• Confirm why

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• Site Supervisor

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