Working at Height Risk Assessment v2 (WIP)

• Site conducted

  Select

• Reason for assessment

  Initial Assessment

  New Procedure

  New Equipment

  After Incident/Retrieval

  Review

• Description of Task

• Who is carrying out the task?

  Select Russell Sampson Jason Moles Pete Gladdy Paul Matthews Phil Bailey Neil Manley Jakki Coles-Smith Gary Hudson Steve Silver

  • Russell Sampson
  • Jason Moles
  • Pete Gladdy
  • Paul Matthews
  • Phil Bailey
  • Neil Manley
  • Jakki Coles-Smith
  • Gary Hudson
  • Steve Silver

• Assessor Signature

  Sign

• Conducted on

  Date

Basic Overview

• Height of the working platform

  0-1.5m

  1.5-6m

  Over 6m

• Work Duration

  Under 30 minutes

  Over 30 minutes

• Time between equipment moves

  Under 30 minutes

  Over 30 minutes

  Not Moving

• Work Activity

  Light

  Medium

  Heavy

Access Equipment

• Equipment in use

  Select Step Ladder Leaning Ladder Podium Steps MEWP Single User Boom MEWP Multi User Boom MEWP Single User Scissor Lift MEWP Multi User Scissor Lift Other

  • Step Ladder
  • Leaning Ladder
  • Podium Steps
  • MEWP Single User Boom
  • MEWP Multi User Boom
  • MEWP Single User Scissor Lift
  • MEWP Multi User Scissor Lift
  • Other

• Other (Specify)

Safe Working Load

• SWL of access equipment (KG)

• Will you be working from the equipment?

  Yes

  No

• Maximum combined weight of operator(s), tools and materials (KG)

Declaration

• Can working at height be avoided?

  Yes

  No

• Working at height should not be completed, working at height must be avoided where alternative methods are reasonably practical

Detailed Assessment of Task

• Does the task involve:

• Holding tools or materials away from trunk

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Twisting/Leaning

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Working on or near fragile surfaces

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Strenuous pushing or pulling

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Insufficient rest or recovery

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• A work rate imposed by a process

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Task Comments and Control Measures

Detailed Assessment of Working Environment

• The Working Environment - are there:

• Constraints on posture

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Poor floor conditions

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Uneven ground

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Overhead hazards

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Hot, cold or humid conditions

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Strong air movements

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Poor lighting conditions

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Environment Comments and Control Measures

Detailed Assessment of Individual

• The Individual - does the job

• Call for special information and/or training e.g. IPAF

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Individual Comments and Control Measures

Other Factors

• Is movement or posture hindered by:

• Clothing

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Personnel Protective Equipment

  Yes

  No

• Level of Risk

  Low

  Medium

  High

• Other Factors Comments and Control Measures

Control Measures

• Measures in place

  Select Instruction and training Supervision Fall Protection Pre use inspections Emergency Plans Other

  • Instruction and training
  • Supervision
  • Fall Protection
  • Pre use inspections
  • Emergency Plans
  • Other

• Other Measures (Specify)

Additional Measures Required

Measure

• Details

• Date Due

  Date