Working at Heights Inspection

• Client / Site

• Conducted on

  Date
• Location
  Address

• Prepared by

• Task to be carried out

Identification of Work at Heights Activities

• Are there activities associated with working at heights?

  Yes

  No

• List activity

• Are the employees / contractors / members of public at risk from work at height identified?

  Yes

  No

• List their names here

• Frequency of performing these activities

  Constantly (4 hours per day)

  Daily

  Weekly

  Monthly, or every few months

  Rarely, once or twice a year

Identification of Hazards

• Employee falling from height

  Yes

  No

  N/A

• Objects falling on employees / members of the public

  Yes

  No

  N/A

• Slipping / collapsing access equipment

  Yes

  No

  N/A

• Slips / trips on elevated access ways

  Yes

  No

  N/A

Control Measures

PLANNING

• Is working at heights avoided where possible?

  Yes

  No

  N/A

• Is work at heights properly planned and organised?

  Yes

  No

  N/A

• Has the work area been surveyed for hazards, eg overhead power lines, unsuitable ground conditions, moving machinery parts?

  Yes

  No

  N/A

• During work at height is there always a competent person present who can suspend work if conditions change, eg weather, traffic, scope of work?

  Yes

  No

  N/A

• Name of competent person

LADDERS/ACCESS EQUIPMENT

• Are portable ladders, steps and all other access equipment regularly inspected?

  Yes

  No

  N/A

• Are ladders only used for light work of short duration?

  Yes

  No

  N/A

• Are work platforms with edge protection, such as tower scaffolds, cherry pickers, scaffolding always used?

  Yes

  No

  N/A

• Are work platforms sufficiently wide to walk on without risk of stumbling or losing balance?

  Yes

  No

  N/A

• Are work platforms capable of supporting workers, equipment, materials, the safe working loads indicated and inspected every six months?

  Yes

  No

  N/A

• Is there a log maintained for ensuring quality of these equipment?

  Yes

  No

  N/A

OPEN EDGES

• Are open vertical drops identified and properly guarded when open?

  Yes

  No

  N/A

• Are hand rails present on the open side of staircases?

  Yes

  No

  N/A

• Are measures always taken to prevent falling objects injuring others as a result of working at heights?

  Yes

  No

  N/A

• Is fixed edge protection provided to prevent falls where working at heights cannot be avoided?

  Yes

  No

  N/A

RACKING

• Is storage properly planned which discourages climbing racking or pallets to access goods?

  Yes

  No

  N/A

• Are adequate provisions in place to allow safe access to stored / displayed goods?

  Yes

  No

  N/A

• Are staff trained in safe working methods to access high level racking?

  Yes

  No

  N/A

TRAINING

• Have all workers who work at heights been assessed as competent or closely supervised by someone who is competent?

  Yes

  No

  N/A

PROTECTIVE EQUIPMENT

• Where the risk of falls cannot be eliminated are safety harnesses, fall arrest devices or safety nets used as required?

  Yes

  No

  N/A

• Are anchorage points for safety harnesses and ladders provided, used and regularly inspected?

  Yes

  No

  N/A

• Write down positive observations

Recommendations

• List recommendations here

Completion

• Full Name and Signature of Inspector

  Sign