Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Working at
Selection & Inspection
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Has a risk assessment been conduction for W@H and does it capture all significant hazards and control?
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Is W@H equipment in use, correct for the activity in hand? i.e fall arrest or work restraint lanyard. (test the person's knowledge & understanding of equipment selection)
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Has W@H equipment (in use) been inspected prior to being issued and have pre-use checks been performed prior to use? Check with team how this has been achieved?
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If any equipment has been found to be defective, is there a suitable quarantine area where the W@H equipment can be securely stored and prevented from further use?
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Is W@H equipment in use recorded in the company W@H equipment register and is it in date?
Equipment Use & Storage
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Are person(s) W@H anchored and can they achieve 100% tie off at all times? How is this being achieved.
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Have anchor points been risk assessed and deemed as suitable rated? How has this been achieved?
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Is the anchor point positioned so that fall arrest equipment has minimal deviation from the vertical position?
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If rope access techniques are being used, are anchor lines clear of edges?
Rescue & Recovery
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Is the documented rescue plan available and understood by all personnnel?
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Have all members of the work party signed onto the documented approved rescue plan?
Closing
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Record details of any other issues/concerns regarding working at heights revealed as a result of the self-verification review.