Working at Heights Risk Assessment - For Electrical Contractors

• 

• 

• Job Name:

• Job Number:

• Conducted by:

• Location:
  Address

• Date Conducted:

  Date

• 

• 

• IMPORTANT - READ THE BELOW INSTRUCTIONS PRIOR TO PROCEEDING

  

Acknowledgement

• Have you read and understood the above instructions not to commence work at heights where there is a risk of falling more than 2 metres, and to contact your immediate supervisor to seek further instructions when this risk assessment directs you to do so by displaying the "STOP" & "DANGER" SIGNS - Do not commence the work activity - Contact your immediate supervisor?

  Yes

  No

• STOP - DO NOT COMMENCE ANY WORK AT HEIGHTS

  

COMPETENCY / EXPERIENCE

• Have you recieved training in identification of hazards, assessment of risks and implementation of control measures in the construction industry? (e.g. White Card etc.)

  Yes

  No

• HIGH RISK IF NOT CARRIED OUT BY A COMPETENT PERSON

  

• 

• Have you completed working at heights awareness training within the last 2 years?

  Yes

  No

• HIGH RISK WITHOUT COMPLETING WORKING AT HEIGHTS AWARENESS TRAINING WITHIN THE LAST 2 YEARS.

  

• 

• Rate your level of experience for working at heights where there is a risk of falling more than 2 metres?

  Select I have never done it before or maybe once and very little knowledge / understanding of risk controls to eliminate or prevent falls I have a limited amount of experience and very basic knowledge / understanding of risk controls to eliminate or prevent falls I have a reasonable amount of experience over a number of years working around various different fall hazards and using different risk controls to prevent falls I have extensive experience over many years working around numerous fall hazards and using many different risk controls to prevent falls

  • I have never done it before or maybe once and very little knowledge / understanding of risk controls to eliminate or prevent falls
  • I have a limited amount of experience and very basic knowledge / understanding of risk controls to eliminate or prevent falls
  • I have a reasonable amount of experience over a number of years working around various different fall hazards and using different risk controls to prevent falls
  • I have extensive experience over many years working around numerous fall hazards and using many different risk controls to prevent falls

• 

• HIGH RISK- CONTACT YOUR IMMEDIATE SUPERVISOR

  

• 

• 
New Fall Hazard Assessment and Control Calculator

• 

• Have you carried out an inspection of the work area in consultation with the work group &/or their Health & Safety Representative/s, to identify any hazards that pose a risk of a person falling more than 2 metres?

  Yes

  No

• Were any hazards identified in the work area that pose a risk of a person falling more than 2 metres?

  Yes

  No

• 

• Describe the exact area at the location where the hazard has been identified:

• Photo of the hazard / location:

  Media

• Select the type of hazards identified that pose a serious risk of a person falling more than 2 metres:

  Select In a work position from which a person could fall off or from An opening / penetration through which a person could fall An edge over which a person could fall Any other place from which a person could fall

  • In a work position from which a person could fall off or from
  • An opening / penetration through which a person could fall
  • An edge over which a person could fall
  • Any other place from which a person could fall

1ST PRIORITY - ELIMINATION OF THE HAZARD COMPLETELY

• 1ST PRIORITY - ELIMINATION OF THE HAZARD COMPLETELY

  

• EXAMPLES OF FALL HAZARD ELIMINATION CONTROLS

  

• 

• Can the risk of a person falling be eliminated completely by performing the work from the ground surface or a solid construction?

  Yes

  No

• Describe the Elimination level control to be used:

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• 

• 

• Why isn't Elimination (the highest level control) of the hazard, such as working at ground level or on a solid construction, used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

2ND PRIORITY - USE PASSIVE FALL PREVENTION

• 2ND PRIORITY - USE PASSIVE FALL PREVENTION

  

• EXAMPLES OF PASSIVE FALL PREVENTION AROUND EDGES & ROOFS

  

• Can passive fall prevention be used to control the risk/s of a person falling?

  Yes

  No

• List the passive fall prevention to be used to control the risk of falling:

  Select Elevating Work Platform Scaffolding Perimeter Screens Perimeter Guardrails Edge Protection Guardrails for Roof Surfaces

  • Elevating Work Platform
  • Scaffolding
  • Perimeter Screens
  • Perimeter Guardrails
  • Edge Protection Guardrails for Roof Surfaces

• List the type of EWP to be used:

  Select Vertical Lift (VL) Scissor Lift (SL) Self Propelled Boom LIft (BL) with boom length less than 11 metres Trailer Lift (TL) Truck Mounted Lift (TM) Advanced Boom (AB) Boom Lift with a boom length that exceeds 11 metres

  • Vertical Lift (VL)
  • Scissor Lift (SL)
  • Self Propelled Boom LIft (BL) with boom length less than 11 metres
  • Trailer Lift (TL)
  • Truck Mounted Lift (TM)
  • Advanced Boom (AB)
  • Boom Lift with a boom length that exceeds 11 metres

• 

• Does the operator hold a current "RIIHAN301E - Operate elevating work platform"; or "CPCCCM3001C - Operate elevated work platforms"; or equivalent with the type of EWP (e.g. VL / SL / SB / TL / TM / AB) listed on their certificate / card?

  Yes

  No

• 

• 

• 

• Is anyone else going to be working in the EWP with the competent operator?

  Yes

  No

• Have all personnel working in the EWP with the competent operator completed general awareness training for safe work at height within the last 2 years?

  Yes

  No

• 

• HIGH RISK OF A PERSON FALLING WITHOUT TRAINING

  

• 

Overhead Hazards & Powerlines

• 

• 

• Are there any; A) Overhead hazards (e.g. crush hazards against structures / obstacles, other operating machinery /cranes & hoists, powered plant); or B) overhead powerlines where the EWP is physically capable of contact &/or coming withing mandatory exclusion distances / No Go Zones (NGZ's)?

  Yes

  No

• Have you ensured additional controls are implemented to prevent coming into contact with overhead hazards / powerlines &/or mandatory exclusion distances / No Go Zones? (e.g. Mechanical Height Limiting Devices, Proximity sensors, Warning alarms, Guards over the operator & controls etc.), Isolation by the Electricity Network Owner / Operator - Flags Installed - Insulated Work Basket type EWP, ?.

  Select Yes - Additional controls have been implemented to prevent contact with overhead powerlines No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

  • Yes - Additional controls have been implemented to prevent contact with overhead powerlines
  • No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

• 

• 

• 

• List the additional risk controls here:

• 

• 

• Do you have at least Engineering level risk controls of higher as the primary risk control for work under overhead hazards?

  Yes

  No

• 

• EXTREME RISK WITHOUT ENGINEERING LEVEL CONTROLS OR HIGHER

  

• 

• Emergency rescue procedures have been developed and workers have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at heights?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• 

• 

• 

• 

• Emergency rescue procedures have been developed and workers have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at heights?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

Overhead Hazards & Powerlines

• 

• 

• Are there any; A) Overhead hazards (e.g. crush hazards against structures / obstacles, other operating machinery /cranes & hoists, powered plant); or B) overhead powerlines where the EWP is physically capable of contact &/or coming withing mandatory exclusion distances / No Go Zones (NGZ's)?

  Yes

  No

• Have you ensured additional controls are implemented to prevent coming into contact with overhead hazards / powerlines &/or mandatory exclusion distances / No Go Zones? (e.g. Mechanical Height Limiting Devices, Proximity sensors, Warning alarms, Guards over the operator & controls etc.), Isolation by the Electricity Network Owner / Operator - Flags Installed - Insulated Work Basket type EWP, ?.

  Select Yes - Additional controls have been implemented to prevent contact with overhead powerlines No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

  • Yes - Additional controls have been implemented to prevent contact with overhead powerlines
  • No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

• 

• 

• 

• List the additional risk controls here:

• 

• 

• Do you have at least Engineering level risk controls of higher as the primary risk control for work under overhead hazards?

  Yes

  No

• 

• EXTREME RISK WITHOUT ENGINEERING LEVEL CONTROLS OR HIGHER

  

• 

• Emergency rescue procedures have been developed and workers have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at heights?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHTS UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• 

• 

• Emergency rescue procedures have been developed and workers have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• 

• 

• Does the operator hold a current "TLILIC0005 - Licence to Operate a Boom-Type Elevating Work Platform +11m length"

  Yes

  No

• 

• 

• 

• Is anyone else going to be working in the EWP with the licenced operator?

  Yes

  No

• Do all personnel working in the EWP with the licenced operator hold a current Certificate of Competency In "RIIWHS204D - Safe Work at Heights" or equivalent issued by a Registered Training Organisation here in Australia for the use of fall arrest equipment?

  Yes

  No

• 

• HIGH RISK WITHOUT A CERTIFICATE OF COMPETENCY IN "RIIWHS204D - SAFE WORK AT HEIGHTS" ( THIS INCLUDES THE USE OF A FALL ARREST EQUIPMENT)

  

• 

• Is there a load rated anchor point/s to attach the fall arrest equipment to?

  Yes

  No

• 

• 

• 

• Have you calculated the required 'fall clearance" taking into account the "free fall distance" & "deceleration factor" & allowance for "obstacles" (+1 metre) to ensure the length of the fall arrest system is sufficient to allow a worker to safety arrest from a fall without risk of uncontrolled contact with the below surface or any obstacle in the fall path?

  Yes

  No

• List the calculated Fall Clearance here:

• Is the "Free Fall" distance 2 metres or more?

  Yes

  No

• 

• HIGH RISK WITH FREE FALL DISTANCE OF 2 METRES OR MORE

  

• Have you taken steps to reduced the "Free Fall" distance less than 2 metres?

  Yes

  No

• 

• HIGH RISK WITH FREE FALL DISTANCE OF 2 METRES OR MORE

  

• 

Overhead Powerlines

• 

• 

• Are there any overhead powerlines where the EWP is physically capable of contact &/or coming withing mandatory exclusion distances / No Go Zones (NGZ's)

  Yes

  No

• Have you ensured additional controls are implemented to prevent coming into contact with overhead powerlines &/or mandatory exclusion distances / No Go Zones? (e.g. Isolation by the Electricity Network Owner / Operator - Flags Installed - Insulated Work Basket type EWP, Mechanical Height Limiting Devices, etc.)?.

  Select Yes - Additional controls have been implemented to prevent contact with overhead powerlines No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

  • Yes - Additional controls have been implemented to prevent contact with overhead powerlines
  • No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

• 

• 

• 

• List the additional risk controls here:

• 

• 

• Do you have at least Engineering level risk controls of higher as the primary risk control for work under overhead hazards?

  Yes

  No

• 

• EXTREME RISK WITHOUT ENGINEERING LEVEL CONTROLS OR HIGHER

  

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• 

• 

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHTS UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

Overhead Hazards & Powerlines

• 

• 

• Are there any; A) Overhead hazards (e.g. crush hazards against structures / obstacles, other operating machinery /cranes & hoists, powered plant); or B) overhead powerlines where the EWP is physically capable of contact &/or coming withing mandatory exclusion distances / No Go Zones (NGZ's)?

  Yes

  No

• Have you ensured additional controls are implemented to prevent coming into contact with overhead hazards / powerlines &/or mandatory exclusion distances / No Go Zones? (e.g. Mechanical Height Limiting Devices, Proximity sensors, Warning alarms, Guards over the operator & controls etc.), Isolation by the Electricity Network Owner / Operator - Flags Installed - Insulated Work Basket type EWP, ?.

  Select Yes - Additional controls have been implemented to prevent contact with overhead powerlines No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

  • Yes - Additional controls have been implemented to prevent contact with overhead powerlines
  • No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

• 

• 

• 

• List the additional risk controls here:

• 

• 

• Do you have at least Engineering level risk controls of higher as the primary risk control for work under overhead hazards?

  Yes

  No

• 

• EXTREME RISK WITHOUT ENGINEERING LEVEL CONTROLS OR HIGHER

  

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• 

• HIGH RISK WITHOUT FALL CLEARANCE CALCULATED AND APPLIED

  

• 

• 

• 

• 

• 

• HIGH RISK WITHOUT LOAD RATED ANCHOR POINTS

  

• 

• Is there a load rated anchor point/s to attach the fall arrest equipment to?

  Yes

  No

• 

• 

• 

• Have you calculated the required 'fall clearance" taking into account the "free fall distance" & "deceleration factor" & allowance for "obstacles" (+1 metre) to ensure the length of the fall arrest system is sufficient to allow a worker to safety arrest from a fall without risk of uncontrolled contact with the below surface or any obstacle in the fall path?

  Yes

  No

• List the calculated Fall Clearance here:

• Is the "Free Fall" distance 2 metres or more?

  Yes

  No

• 

• HIGH RISK WITH FREE FALL DISTANCE OF 2 METRES OR MORE

  

• Have you taken steps to reduced the "Free Fall" distance less than 2 metres?

  Yes

  No

• 

• HIGH RISK WITH FREE FALL DISTANCE OF 2 METRES OR MORE

  

• 

Overhead Powerlines

• 

• 

• Are there any overhead powerlines where the EWP is physically capable of contact &/or coming withing mandatory exclusion distances / No Go Zones (NGZ's)

  Yes

  No

• Have you ensured additional controls are implemented to prevent coming into contact with overhead hazards / powerlines &/or mandatory exclusion distances / No Go Zones? (e.g. Mechanical Height Limiting Devices, Proximity sensors, Warning alarms, Guards over the operator & controls etc.), Isolation by the Electricity Network Owner / Operator - Flags Installed - Insulated Work Basket type EWP, ?.

  Select Yes - Additional controls have been implemented to prevent contact with overhead powerlines No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

  • Yes - Additional controls have been implemented to prevent contact with overhead powerlines
  • No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

• 

• 

• 

• List the additional risk controls here:

• 

• 

• Do you have at least Engineering level risk controls of higher as the primary risk control for work under overhead hazards?

  Yes

  No

• 

• EXTREME RISK WITHOUT ENGINEERING LEVEL CONTROLS OR HIGHER

  

• 

• Emergency rescue procedures have been developed and workers have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at heights?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter (mandatory)

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• 

• 

• 

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• 

• 

• 

Overhead Powerlines

• 

• 

• Are there any overhead powerlines where the EWP is physically capable of contact &/or coming withing mandatory exclusion distances / No Go Zones (NGZ's)

  Yes

  No

• Have you ensured additional controls are implemented to prevent coming into contact with overhead powerlines &/or mandatory exclusion distances / No Go Zones? (e.g. Isolation by the Electricity Network Owner / Operator - Flags Installed - Insulated Work Basket type EWP, Mechanical Height Limiting Devices, etc.)?.

  Select Yes - Additional controls have been implemented to prevent contact with overhead powerlines No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

  • Yes - Additional controls have been implemented to prevent contact with overhead powerlines
  • No - Additional controls have NOT been implemented to prevent contact with overhead powerlinesNo - height limiters have NOT been set to prevent contact with overhead powerlines

• 

• 

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• Yes

  No

  N/A

• 

• HIGH RISK WITHOUT FALL CLEARANCE CALCULATED AND APPLIED

  

• 

• 

• 

• 

• 

• HIGH RISK WITHOUT LOAD RATED ANCHOR POINTS

  

• 

• Mandatory Requirements for Work from Scaffolding

  

• Do you understand the above mandatory requirements and agree they shall be communicted to the work group and implemented by all persons who are required to carry out work from scaffolding?

  Yes

  No

• 

• HIGH RISK WITHOUT MANDATORY REQUIREMENTS IMPLEMENTED & COMMUNICATED

  

• 

• What type of scaffold is intended to be used?

  Select Mobile (Tower) Scaffolds Modular Scaffolding fixed to a structure

  • Mobile (Tower) Scaffolds
  • Modular Scaffolding fixed to a structure

• In addition to the above mandatory requirements for scaffolds, mobile scaffolds have the following mandatory requirements:

  

• Do you understand the above additional mandatory requirements for mobile scaffolds and agree they shall be communicted to the work group and implemented by all persons who are required to carry out work from this type of scaffolding?

  Yes

  No

• 

• HIGH RISK WITHOUT MANDATORY REQUIREMENTS IMPLEMENTED & COMMUNICATED

  

• 

• Mobile (Tower) Scaffold

  

• Is the work platform of the mobile scaffold: A). any more than 4 metres from the ground surface / surface of the solid construction that it shall be located on; or B). located in a position that should a person fall from the work platform they would fall more than 4 metres?

  Yes

  No

• Was the mobile scaffold assembled, inspected and tagged by a competent person holding a current Certificate of Competency in CPCCLSF2001A - Licence to erect, alter and dismantle scaffolding basic level?

  Yes

  No

• 

• HIGH RISK IF NOT ASSEMBLED BY A COMPETENT PERSON/S

  

• 

• Does the mobile scaffold have: A). toe boards, mid rails and top rails around the entire perimeter of the work platform; & B). Lockable caster wheels; & C). Internal access steps / ladder; & D). Is positioned outside of minimum exclusion distances / No Go Zones from overhead powerlines?

  Yes

  No

• HIGH RISK DUE TO SCAFFOLD CONFIGURATION &/OR CLOSE PROXIMITY TO OVERHEAD POWERLINES

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• Does the mobile scaffold have: A). toe boards, mid rails and top rails around the entire perimeter of the work platform; & B). Lockable caster wheels; & C). Internal access steps / ladder; & D). Is positioned outside of minimum exclusion distances / No Go Zones from overhead powerlines?

  Yes

  No

• HIGH RISK DUE TO SCAFFOLD CONFIGURATION &/OR CLOSE PROXIMITY TO OVERHEAD POWERLINES

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• Was the scaffolding assembled, inspected and tagged by a competent person holding a current Certificate of Competency in CPCCLSF2001A - Licence to erect, alter and dismantle scaffolding basic level?

  Yes

  No

• 

• HIGH RISK IF NOT ASSEMBLED BY A COMPETENT PERSON/S

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• Has the passive fall prevention to be used been installed, inspected and tagged by a competent person?

  Yes

  No

• 

• HIGH RISK WITHOUT BEING INSTALLED, INSPECTED AND TAGGED BY A COMPETENT PERSON

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• Why isn't the higher level control of the hazard used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

3rd PRIORITY - WORK POSITIONING SYSTEM

• 3RD PRIORITY - USE A WORK POSITIONING SYSTEM

  

• EXAMPLES OF WORK POSITIONING SYSTEMS ON SLOPES / GRADIENTS & NEAR EDGES

  

• Can a work positioning system be used to control the risk/s of a person falling?

  Yes

  No

• 

• Do you hold a Certificate of Competency In "RIIWHS204D - Safe Work at Heights" for the use of fall arrest equipment issued by a Registered Training Organisation here in Australia?

  Yes

  No

• 

• HIGH RISK OF A PERSON FALLING WITHOUT THE REQUIRED COMPETENCY

  

• 

• Is there a load rated point/s to attach the Fall Prevention equipment to?

  Yes

  No

• Emergency rescue procedures have been developed and workers have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL REQUIRED HAZARD RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK OF HARM WITHOUT MANDATORY RISK CONTROLS BEING IMPLEMENTED

  

• 

• DANGER - DO NOT COMMENCE THE WORK UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• Has the emergency rescue procedures been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

• 

• HIGH RISK WITHOUT AN EMERGENCY RESCUE PLAN BEING IMPLEMENTED

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• 

• 

• 

• Why isn't the higher level control of the hazard used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

4th PRIORITY LEVEL - FALL ARREST SYSTEMS

• PRIORITY 4 - FALL ARREST SYSTEMS

  

• Some examples of fall arrest equipment

  

• Can Fall Arrest equipment be used to control the risk of a person falling?

  Yes

  No

• Why isn't the higher level control of the hazard used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

PRIORITY 5 - PORTABLE LADDERS & ADMINISTRATION CONTROLS

• PRIORITY 5 - PORTABLE OR FIXED LADDERS

  

• Some examples of ladders

  

• Can a portable ladder be used to control the risk of falling more than 2 metres?

  Yes

  No

• What type of Ladder/s has been selected for use?

  Step Ladder (A-Frame)

  Single / Extension

  Platform

• What is the intended purpose of use?

  Select Purely Access / Egress Only Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

  • Purely Access / Egress Only
  • Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY
  • Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

• STOP - DO NOT WORK AT HEIGHTS

  

• HIGH RISK DUE TO HIGH PHYSICAL EXERTION

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

• What is the intended purpose of use?

  Select Purely Access / Egress Only Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

  • Purely Access / Egress Only
  • Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY
  • Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

• STOP - DO NOT WORK AT HEIGHTS

  

• HIGH RISK DUE TO HIGH PHYSICAL EXERTION

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

• What is the intended purpose of use?

  Select Purely Access / Egress Only Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

  • Purely Access / Egress Only
  • Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY
  • Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

• Does the intended work involve using a grinder / welder / quick cut saw?

  Select Using a grinder / welder / quick cut saw was intended from the platform ladder The use of a grinder / welder / quick cut saw is not required

  • Using a grinder / welder / quick cut saw was intended from the platform ladder
  • The use of a grinder / welder / quick cut saw is not required

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

• THE USE OF A GRINDER, WELDER OR QUICK CUT SAW FROM ANY LADDER IS PROHIBITED.

  

• HIGH RISK IF USING PROHIBITED POWER TOOLS FROM A LADDER

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

• 

• 

• 

• Signature of person completing this risk assessment (mandatory)

  Sign

• 

• MANDATORY SAFETY SPOTTER REQUIRED

  

• Do all personnel intending to carry out the work, hold a current Certificate of Competency In "RIIWHS204D - Safe Work at Heights" or equivalent issued by a Registered Training Organisation here in Australia for the use of fall arrest equipment?

  Yes

  No

• 

• HIGH RISK WITHOUT A CERTIFICATE OF COMPETENCY IN "RIIWHS204D - SAFE WORK AT HEIGHTS" ( THIS INCLUDES THE USE OF A FALL ARREST EQUIPMENT)

  

• 

• Is there a load rated anchor point/s to attach the fall arrest equipment to?

  Yes

  No

• 

• 

• 

• Have you calculated the required 'fall clearance" taking into account the "free fall distance" & "deceleration factor" & allowance for "obstacles" (+1 metre) to ensure the length of the fall arrest system is sufficient to allow a worker to safety arrest from a fall without risk of uncontrolled contact with the below surface or any obstacle in the fall path?

  Yes

  No

• List the calculated Fall Clearance here:

• Is the "Free Fall" distance 2 metres or more?

  Yes

  No

• 

• HIGH RISK WITH FREE FALL DISTANCE OF 2 METRES OR MORE

  

• Have you taken steps to reduced the "Free Fall" distance less than 2 metres?

  Yes

  No

• 

• HIGH RISK WITH FREE FALL DISTANCE OF 2 METRES OR MORE

  

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter (mandatory:

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• Emergency rescue procedures have been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter:

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• DANGER - DO NOT COMMENCE THE WORK AT HEIGHT UNTIL AN EMERGENCY RESCUE PLAN HAS BEEN IMPLEMENTED AND PERSONNEL TRAINED IN THE RESCUE PROCEDURE/S

  

• 

• 

• 

• HIGH RISK WITHOUT FALL CLEARANCE CALCULATED AND APPLIED

  

• 

• 

• HIGH RISK WITHOUT FALL CLEARANCE CALCULATED

  

• 

• 

• HIGH RISK WITHOUT LOAD RATED ANCHOR POINTS

  

• 

1ST PRIORITY - ELIMINATION OF THE HAZARD COMPLETELY

• 1ST PRIORITY - ELIMINATION OF THE HAZARD COMPLETELY

  

• EXAMPLES OF FALL HAZARD ELIMINATION CONTROLS FOR PENETRATIONS &/OR OPENINGS

  

• 

• Can the risk of a person falling be eliminated completely by performing the work from the ground surface or a 'solid construction'?

  Yes

  No

• Describe the Elimination level control to be used:

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you acknowledge all responses and information provided are true and represent an objective assessment of the current site conditions and competencies of personnel?

  Yes

  No

• HIGH RISK OF HARM DUE TO INACCURATE RISK ASSESSMENT RESPONSES

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• 

• 

• 

• 

• Why isn't Elimination (the highest level control) of the hazard, such as working at ground level or on a solid construction, used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

2ND PRIORITY - USE PASSIVE FALL PREVENTION

• 2ND PRIORITY - USE PASSIVE FALL PREVENTION

  

• WARNING SIGN

  

• PASSIVE FALL PREVENTION - GUARD RAILS / BARRIERS

  

• Can guard rails &/or physical barriers and warning signs be used to control the risk/s of a person falling?

  Yes

  No

• Have the guard rails &/or physical barriers been installed, inspected and tagged by a competent person?

  Yes

  No

• 

• HIGH RISK WITHOUT BEING INSTALLED, INSPECTED AND TAGGED BY A COMPETENT PERSON

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• Why isn't the higher level control of the hazard used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 
3rd PRIORITY - WORK POSITIONING SYSTEM

• 3RD PRIORITY - USE A WORK POSITIONING SYSTEM

  

• EXAMPLES OF WORK POSITIONING SYSTEMS ON SLOPES / GRADIENTS & NEAR EDGES

  

• Can a work positioning system be used to control the risk/s of a person falling?

  Yes

  No

• 

• Do you hold a Certificate of Competency In "RIIWHS204D - Safe Work at Heights" for the use of fall arrest equipment issued by a Registered Training Organisation here in Australia?

  Yes

  No

• 

• HIGH RISK OF A PERSON FALLING WITHOUT THE REQUIRED COMPETENCY

  

• 

• Is there a load rated point/s to attach the Fall Prevention equipment to?

  Yes

  No

• Emergency rescue procedures have been developed and workers & the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

FALLING OBJECT HAZARD CONTROLS

• FALLING OBJECT CONTROLS

  

• Are control measures implemented to eliminate or if not possible reduce the risk of falling objects from the person/s working at height?

  Select Yes controls are implemented No controls are implemented Not Applicable - No objects are used / capable of falling

  • Yes controls are implemented
  • No controls are implemented
  • Not Applicable - No objects are used / capable of falling

• 

• 

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL REQUIRED HAZARD RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• Signature of Safety Spotter (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK OF HARM WITHOUT MANDATORY RISK CONTROLS BEING IMPLEMENTED

  

• 

• 

• Has the emergency rescue procedures been developed and workers and the safety spotter have been trained in these procedures to ensure they're carried out in a timely manner if needed?

  Yes

  No

• 

• HIGH RISK WITHOUT AN EMERGENCY RESCUE PLAN BEING IMPLEMENTED

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number / date of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• 

• 

• 

• Why isn't the higher level control of the hazard used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

4th PRIORITY LEVEL - FALL ARREST SYSTEMS

• PRIORITY 4 - FALL ARREST SYSTEMS

  

• Some examples of fall arrest equipment

  

• Can Fall Arrest equipment be used to control the risk of a person falling?

  Yes

  No

• Why isn't the higher level control of the hazard used to control the risk of falling more than 2 metres?

  Select Higher level controls are NOT reasonably practicable Higher level controls are NOT possible in any way Higher level controls are reasonably practicable but are not currently available Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

  • Higher level controls are NOT reasonably practicable
  • Higher level controls are NOT possible in any way
  • Higher level controls are reasonably practicable but are not currently available
  • Higher level controls are reasonably practicable & available but are inconvenient, or too time consuming

• STOP - ASSESS HIGHER LEVEL RISK CONTROLS

  

• HIGH RISK OF FALLING MORE THAN 2 METRES

  

• 

PRIORITY 5 - PORTABLE LADDERS & ADMINISTRATION CONTROLS

• PRIORITY 5 - PORTABLE OR FIXED LADDERS

  

• Some examples of ladders

  

• Can a portable ladder be used to control the risk of falling more than 2 metres?

  Yes

  No

• What type of Ladder/s has been selected for use?

  Step Ladder (A-Frame)

  Single / Extension

  Platform

• What is the intended purpose of use?

  Select Purely Access / Egress Only Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

  • Purely Access / Egress Only
  • Work requiring a LOW / MEDIUM Degree of physical exertion which requires the use of one hand ONLY
  • Work requiring A HIGH degree of physical exertion with either one or both hands (e.g. Cable Hauling / Use of power tools requiring both hands e.g. grinder / welder)

• STOP - DO NOT WORK AT HEIGHTS

  

• HIGH RISK DUE TO HIGH PHYSICAL EXERTION

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

PRIORITY 5 - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

• 

AUTHORISATION

• Signature of Person conducting this risk assessment (mandatory):

  Sign

• CLICK BELOW TO COMPLETE THIS RISK ASSESSMENT

  

• 

• HIGH RISK WITHOUT COMPLIANCE TO INSTRUCTIONS & PROHIBITIONS IN THIS RISK ASSESSMENT

  

• 

• IMPLEMENT METHODS OF CARRYING TOOLS AND MATERIALS WITHOUT THE USE OF THE HANDS

  

• HIGH RISK OF FALLING OBJECTS

  

• 

• DANGER - MUST BE PLACED ON A FIRM, LEVEL & STABLE SURFACE

  

• EXTREME RISK OF FALLING IF USED ON AN UNSTABLE SURFACE

  

• 

• DAMAGED / DEFECTIVE LADDERS MUST BE REMOVED FROM SERVICE

  

• HIGH RISK IF DEFECTIVE LADDERS ARE USED

  

• 

• COMPLETE A LADDER INSPECTION PRIOR TO COMMENCING THE WORK

  

• HIGH RISK IF USING A DEFECTIVE LADDER

  

• 

Evaluation of Suitability:

• have you completed a visual inspection of the ladder(s) to ensure it is fit for purpose being of a fibreglass construction for electrical work, there's no signs of damage / defects and the ladder(s) is in a safe condition to use?

  Yes

  No

• Are all employees aware that all damaged ladders are to be immediately removed from service, tagged and secured until they're repaired or disposed of?

  Yes

  No

Safe Work Practices:

• Is the surface the ladder is intended to be placed on level & capable of supporting the combined weight of the worker and all tools and materials?

  Yes

  No

• Take a Photo of the Surface:

  Media

• Has a method for safe carrying of tools &/or materials been established and communicated for climbing and descending the ladder to ensure tools &/or materials are not carried by hand to allow for 3 points of contact at all times (e.g. Tool belt) ?

  Select Yes No No Tools / Materials are Required

  • Yes
  • No
  • No Tools / Materials are Required

Site & Environmental Hazards

• Is the work from a ladder INDOORS or OUTDOORS?

  Indoors Only

  Outdoors

  Both

• There is a risk of harm to the worker due to (Select ALL applicable HAZARDS) :

  Select

• 

• HIGH RISK IF LADDER IS USED IN THE CURRENT CONDITIONS

  

• 

5th PRIORITY - ADMINISTRATION CONTROLS

• Do you agree to comply with all instructions and prohibitions in this risk assessment?

  Yes

  No

• Do you have a Safe Work Method Statement (SWMS) in place covering all hazards, risks and the required measures to control the risk of harm to workers?

  Yes

  No

• 

• HIGH RISK OF HARM WITHOUT AN AGREED SWMS BEING IMPLEMENTED

  

• 

• List the name / title and revision number of the SWMS covering all hazards, risks and the required measures to control the risk of harm to workers?

• Do you agree to implement all hazard risk controls from this risk assessment & SWMS prior to working at heights?

  Yes

  No

• 

• HIGH RISK OF HARM DUE TO ALL MANDATORY RISK CONTROLS NOT BEING IMPLEMENTED

  

•