Working at Height

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre-Start Checks

• Has a ground survey been carried out prior to erection of scaffold?<br><br>

  Yes

  No

  N/A

• Is the scaffolding or platform been inspected prior to use and has a valid scaff tag? if yes, (Insert Number)<br>

  Yes

  No

  N/A

• Are all access ladders secure?<br><br>

  Yes

  No

  N/A

• Is there overboard working involved with the task, if yes, Insert work instruction Number) <br>

  Yes

  No

  N/A

SIMOPS

• Are simultaneous operations being carried out, if yes, list the task / activity<br>

  Yes

  No

  N/A

Controls in Place

• Has all relevant controls been implemented, as a minimum risk assessment, PTW, JSA & TBT are all documentation signed by all participants. Insert all document numbers.

  Yes

  No

  N/A

• Is there Good safety communication between parties

  Yes

  No

  N/A

• Noise level is acceptable/adequately controlled

  Yes

  No

  N/A

• Are sufficient warning signage and barriers in place to warn others (list all)<br>

  Yes

  No

  N/A

Access Equipment

• Has the mitigation of dropped objects been considered when erecting scaffold or Tower?<br> <br>

  Yes

  No

  N/A

• Are the ladders, hand rails and toe boards in good condition? <br>

  Yes

  No

  N/A

• Are all exits and walkways clear from obstructions?

  Yes

  No

  N/A

General Safety

• Is there suitable and sufficient lighting installed in the task area to enable work to be carried out safely. (list all types used)<br>

  Yes

  No

  N/A

• Are all tools and equipment being used in good condition, including all guards and all electrical cables and fittings ( insert test date)<br>

  Yes

  No

  N/A

• Is there whip checks fitted to all Compressed air equipment

  Yes

  No

  N/A

Housekeeping

• Are all areas clean, tidy and free from combustible material, Inc. all trailing cables secured / covered and any spills cleared up immediately (list all controls)<br>

  Yes

  No

  N/A

• Add media

  Media

PPE

• Is everyone wearing the correct / required PPE / RPE for the task, as specified in the risk assessment, toolbox / JSA? (list all)<br>

  Yes

  No

  N/A

• Are all personnel wearing suitable harness, lanyards or restraints for the specific task and are they free from defects? (list type)<br>

  Yes

  No

  N/A

• Add media

  Media

Emergency Arrangements

• Are all personnel, Inc. Tank sentry fully aware of how to raise the alarm? (list when last test was completed)<br>

  Yes

  No

  N/A

• Are suitable arrangements in place, inc. Fire, first aid & rescue plan (list all)<br>

  Yes

  No

  N/A

Other Hazards

• List all potential Hazards and risks<br><br>

  Yes

  No

  N/A

• Add media

  Media