Working at height system audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

3.0 Scope

• Does the W@H FPE apply to all contractors and Holcim staff?

  Yes

  No

  N/A

• Does the W@H FPE apply to all structures, facilities, vehicles and mobile equipment used by Holcim Group Company?

  Yes

  No

  N/A

• Are fall prevention or fall protection systems required to be available at all times when work is conducted near a vertical drop of 1.8 meters or greater?<br>

  Yes

  No

  N/A

4.0 Accountability

• Is there a process in place for formally appointing a person or persons other than CEO to be accountable to implement and maintain each requirement

  Yes

  No

  N/A

• Has a person or persons other than the CEO been assigned accountability for implementing and maintaining each requirement of this FPE?

  Yes

  No

  N/A

4.1 Hazard identification risk assessment and control

• Have all routine tasks, where potential to fall from height greater than 1.8 meters, been identified?

  Yes

  No

  N/A

• Are they documented?

  Yes

  No

  N/A

• Have routine work areas with fall potential less than 1.8 meters been considered?

  Yes

  No

  N/A

• Have the local legislative requirements for W@H been identified and considered in the surveys?

  Yes

  No

  N/A

• Review the survey? Does the survey meet the element requirements?

  Yes

  No

  N/A

• Have all routine W@H tasks been included in the survey?

  Yes

  No

  N/A

• Is the hierarchy of controls applied to W@H tasks?

  Yes

  No

  N/A

• Are all fall prevention options considered? What are they?<br>

  Yes

  No

  N/A

• How are non routine W@H tasks addressed?

  Compliant

  Non-compliant

4.2 Selection, Training, Competency and Authorisation

• Review the training and competency program for W@H to determine if it meets element requirements

  Yes

  No

  N/A

• Are competency standards established and maintained for the selection, inspection, use and maintenance of fall prevention and protection equipment?

  Yes

  No

  N/A

• Are training and competency programs in place?

  Yes

  No

  N/A

• Are there assessment records which show both skill and knowledge of trainees?

  Yes

  No

  N/A

• Is there a re-assessment period set?

  Yes

  No

  N/A

• Does it comply with legal requirements?

  Yes

  No

  N/A

• How are trained personnel identified/authorised?

  Yes

  No

  N/A

• Is there a general Induction program for all personnel who work on site?

  Yes

  No

  N/A

• Does it provide an adequate overview of the W@H FPE requirements?

  Yes

  No

  N/A

4.3 Communication and awareness

• Is there a periodic program?

  Yes

  No

  N/A

• Does the awareness program cover all relevant W@H exposures?

  Yes

  No

  N/A

• Are topics relating to W@H safety included in safety meetings / toolbox talks?

  Yes

  No

  N/A

• Is the information appropriate for those personnel who perform work at height ie. does it go into sufficient depth so they understand the requirements?

  Yes

  No

  N/A

• Do work at height or similar procedures require these aspects of the W@H FPE to be addressed?

  Yes

  No

  N/A

• Are these requirements adequate? For example: are the size, type and location of warning signs specified in a procedure? Is the scaftag or equivalent system used,

  Yes

  No

  N/A

4.4 Design, Purchase, Fabrication, Installation and Commissioning

• Has a minimum standard specification been established for W@H equipment eg an ISO or national standards?

  Yes

  No

  N/A

• Are those standards known and used by the procurement department?

  Yes

  No

  N/A

• Are the requirements of the standard understood?

  Yes

  No

  N/A

• Has there been an assessment of the design specifications used for these elements?

  Yes

  No

  N/A

• Do these specifications meet accepted national/international norms?

  Yes

  No

  N/A

• Are the national codes/standards for this equipment/controls known and used?

  Yes

  No

  N/A

• Are the Holcim Engineering standards used?

  Yes

  No

  N/A

• Is there a program to train and verify skill of persons who install and maintain W@H anchorage points?

  Yes

  No

  N/A

• How has this program been determined to be adequate?

  Yes

  No

  N/A

4.5 Work method and condition control

• Is there a task safety analysis method/procedure or risk assessment tool available which meets the requirements of this element?

  Yes

  No

  N/A

• Is the hazard control information communicated to personnel? When?

  Yes

  No

  N/A

• Only Personnel with the appropriate training shall operate Elevated Work Platforms.

  Yes

  No

  N/A

• <br>Level of appropriate training defined?

  Yes

  No

  N/A

• Training program in place and authorization process established

  Yes

  No

  N/A

• National requirements identified and set as a minimum

  Yes

  No

  N/A

• Only Personnel with the appropriate training shall erect and dismantle scaffolding

  Yes

  No

  N/A

• <br>Level of appropriate training defined?

  Yes

  No

  N/A

• Training program in place and authorization process established

  Yes

  No

  N/A

• National requirements identified and set as a minimum

  Yes

  No

  N/A

• Scaffolding access control system such as “Scaftag” exists

  Yes

  No

  N/A

• Has a minimum training standard for personnel using safety harness been established?

  Yes

  No

  N/A

• Does this standard align with national or equivalent standards?

  Yes

  No

  N/A

• Is there an authorization process for personnel to use harnesses?

  Yes

  No

  N/A

• Is there a training program for personnel who inspect harnesses?

  Yes

  No

  N/A

• Anchor points are identified prior to commencement of task and methods to ensure attachment at all times agreed

  Yes

  No

  N/A

• Is there a procedure and or guidance document which provides information to personnel who use ladders?

  Yes

  No

  N/A

• Are personnel who use ladders instructed in these requirements?

  Yes

  No

  N/A

• Is there a standard established for portable ladders?

  Yes

  No

  N/A

• Are fibreglass or wooden ladders specified for electrical work?

  Yes

  No

  N/A

• Are EWP’s required to be approved before use for electrical work?

  Yes

  No

  N/A

• Is this requirement specified in W@H procedures and or task/risk assessments?

  Yes

  No

  N/A

• Are all tools, equipment and personal items used when W@H secured against falling?

  Yes

  No

  N/A

• Is there a barricading or other procedure which specifically addresses these requirements?<br>

  Yes

  No

  N/A

4.6 Maintenance

• Is there a program which meets the requirements of this standard?

  Yes

  No

  N/A

• Does it include: List of all Elevated work platforms

  Yes

  No

  N/A

• Schedule and type of maintenance

  Yes

  No

  N/A

• Names of qualified maintainers

  Yes

  No

  N/A

• Recording of maintenance and repairs performed?

  Yes

  No

  N/A

4.7 Emergency control

• Do all routine work at height tasks have a documented rescue plan?

  Yes

  No

  N/A

• Are rescue plans developed prior to the commencement of non routine w@H?

  Yes

  No

  N/A

• Is there a schedule for testing routine W@H rescue plans?

  Yes

  No

  N/A

• Are drills conducted for other areas where work at height is conducted but not on a regular basis?

  Yes

  No

  N/A

• Are the drills evaluated?

  Yes

  No

  N/A

4.8 Monitoring, inspection and audits

• Have schedules been developed for the inspection of fall protection equipment?

  Yes

  No

  N/A

• Have the manufactures inspection requirements/recommendation been included?

  Yes

  No

  N/A

• Is there a system for recording the date of the inspection, the finding and who did the inspection?

  Yes

  No

  N/A

• What skills and knowledge does the inspector require? Is it in accordance with the manufacturers and national regulatory requirements?

  Yes

  No

  N/A

• Is there a 6 monthly inspection schedule for all fall protection equipment?

  Yes

  No

  N/A

• Is each item of fall protection equipment uniquely identifiable?

  Yes

  No

  N/A

• Is there a system to track or mark each piece of fall protection equipment to identify it is safe to use and has been inspected within the last 6 months?

  Yes

  No

  N/A

• Is an inspection program in place for all scaffolding equivalent to the SCAFFTAG system?

  Yes

  No

  N/A

• Does this system meet the requirements of this section of the FPE?

  Yes

  No

  N/A

• Is there a register of all fixed and portable ladders?

  Yes

  No

  N/A

• Is there a schedule for the inspection of all fixed and portable ladders in accordance with the requirements of this FPE?

  Yes

  No

  N/A

• Is there a specification for the inspection of fixed and portable ladders i.e. what to look for?

  Yes

  No

  N/A

• Is there a task observation procedure?

  Yes

  No

  N/A

• Are task observations conducted on W@H regularly?

  Yes

  No

  N/A

• Are the people undertaking the task observations aware of and understand the requirements of this FPE?

  Yes

  No

  N/A

• Is there an annual auditing program in place, which verifies the quality and effectiveness of the group company’s response to the requirements of this FPE?

  Yes

  No

  N/A

• Are the audits performed in accordance with the audit schedules?

  Yes

  No

  N/A

4.9 Reporting, assessment and corrective actions

• Is there a process by which hazards or defects can be reported eg. Hazard reports or inspection checklists

  Yes

  No

  N/A

• How is W@H equipment taken out of service and or destroyed?

  Yes

  No

  N/A

Conclusion and auditor's comments

• Date of audit completed

  Date

• Signature of auditor

  Sign

• Date of auditor's signature

  Date

• Signature of auditee

  Sign

• Date of auditee's signature

  Date