Information

  • Client / Site

  • Site Leader

  • Conducted on

  • Prepared by

  • Location
  • Personnel Interviewed

Mile Marker 1 - Verification Questions & Responses

  • Line 1.0 <br>Can the site demonstrate that no un-controlled working at height is taking place above 1.8 mtrs/6 feet?<br>Fall prevention measures can be harness and fall arrest lanyard, AWP's, barriers etc.

  • Line 1.1<br>Can the site demonstrate that all affected TM's who work at height have received training in W@H, and the equipment they are using, including the site procedures?

  • Line 1.2<br>Can the site demonstrate that those TM's who use work at height equipment have been trained, are competent in its use and authorised?

  • Line 1.3<br>Can the site demonstrate for all high risk working at height activities it has a rescue plan in place and TM's are trained and understand and have tested the procedure?

  • Line 1.4<br>Can the site demonstrate for all non-standard working at height activities it has completed a risk assessment prior to the W@H taking place?

  • Has the facility/location demonstrated that it meets the requirements of the line items for the S.I.F. PIT RM?

  • The facility/location CAN claim MM1 for this RM

  • The facility/location CAN NOT claim MM1 for this RM

  • Date & Time of completed SIF RMVP

  • Signature of TM completing Verification

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.