Title Page
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Conducted on
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Prepared by
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Position
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Contract
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Location
Procedures and Systems:
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1. Have risks been analysed to apply hierarchy of controls, e.g. suitably enclosed work platforms, scaffold or mobile elevated work platforms (MEWP) before fall restraint, fall arrest systems?
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2. Are relevant permits (where stipulated) authorised and implemented?
Competency and Understanding:
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3. Is there evidence of inductions, qualifications and competency?
Plant/Equipment Design and Selection:
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4. Is infrastructure selected and installed correctly, e.g. warning signs for fragile rooves/sky lights, guard rails, and safe access?
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5. Is plant and equipment selected to right standard for preventing and protecting falls e.g. non-slip footwear, non-metallic ladders for electrical work?
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6. Is the scaffold constructed in accordance with the design?
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7. Are temporary platforms and scaffolds been designed and approved by an authorised and competent person?
Protection and Unauthorised Access:
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8. Have scaffold, ladders and other temporary equipment been protected from being hit by moving equipment?
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9. Does overhead work have exclusion zones/barricades, catch nets, tool lanyards to segregate and protect people from falling objects?
Human Factors and Behaviours:
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10. Are safe behaviours being demonstrated e.g. not complacent/distracted/rushing
Plant and Equipment Testing and Maintenance:
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11. Are anchorage points for fall arrest devices positioned to prevent worker pendulum or touch the ground?
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12. Is plant and equipment stored and used correctly e.g. PPE, 4:1 set up for straight ladders secure, harnesses and helmets?
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13. Is plant and equipment maintained and checked prior to use e.g. scaffold, anchor points, harnesses and MEWP?
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14. Are rescue personnel, equipment and plans tested where fall arrest/fall restraint devices are used?
