Working at Heights System Assessment (GMR)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 Risk Management

• 1.1 AMS/TRA Number & References:

  Yes

  No

  N/A

• 1.2 Have potential hazards associated with Working at Heights(WAH) been identified and documented in the Workplace Risk Assessment(WRA)?

  Yes

  No

  N/A

• 1.3 Does the identified TRA include WAH risks and are the controls in place?

  Yes

  No

  N/A

• 1.4 Can the workers identify the applicable hazards associated with the WAH activity?

  Yes

  No

  N/A

• 1.5 (GMR) Effective control measures implemented to prevent the fall of persons from any height, and risk posed by falling materials?

  Yes

  No

  N/A

• 1.6 (GMR) Has the hierarchy of control being applied at the planning phase of this work at heights activity?

  Yes

  No

  N/A

• 1.7 (GMR) All perimeters to structures, edges and working platforms are protected by use of screens, guard rails and/or scaffolding systems to prevent persons or materials falling?

  Yes

  No

  N/A

• 1.8 (GMR) Protection from falling objects provided through primary controls such as edge protection, with exclusion zones and/or overhead protection as a secondary means of control?

  Yes

  No

  N/A

• 1.9 (GMR) Penetrations, shafts and risers must be protected to prevent the fall of people no materials. Penetration covers must be robust, securely fastened and clearly identified?

  Yes

  No

  N/A

• 1.10 (GMR) A harness should only be used as a primary means of fall protection. If a harness is being used a primary means of protection this must be approved by the Business Unit General Manager and controlled by a permit to work?

  Yes

  No

  N/A

2.0 Training

• 2.1 (GMR) Do those who supervise and carry out work at height hold the appropriate training for WAH activity?

  Yes

  No

  N/A

3.0 Work at Heights Permit

• 3.1 Has the Working at Heights Permit been completed for the task?

  Yes

  No

  N/A

• 3.2 Permit Number:

  Yes

  No

  N/A

• 3.3 Issue Date/ Time:

  Yes

  No

  N/A

• 3.4 Expiry Date/Time:

  Yes

  No

  N/A

• 3.5 Do the names of workers undertaking the work at height appear on the WAH permit

  Yes

  No

  N/A

• 3.6 Has their manager/supervisor communicated the requirements of the WAH permit to them and do they understand it's requirements?

  Yes

  No

  N/A

4.0 Work at Heights Equipment

• 4.1 Is the WAH equipment recorded in a central register, inspected and maintained in accordance with JHG WAH procedures?

  Yes

  No

  N/A

• 4.2 Is the WAH rescue equipment in date tested and ready to use?

  Yes

  No

  N/A

• 4.3 (GMR) Have anchor points been installed as per design requirements and approved by a competent person prior to use?

  Yes

  No

  N/A

• 4.4 (GMR) Are the Anchor Points regularly inspected?

  Yes

  No

  N/A

• 4.5 Are the employees able to demonstrate how to effectively select an anchor point for the working at height activity?

  Yes

  No

  N/A

• 4.6 (GMR) Grid mesh or flooring material must be installed as per design requirements, secured at all stages of installation and regularly inspected?

  Yes

  No

  N/A

• 4.7 (GMR) Roof mesh must not be used as a primary means of fall protection?

  Yes

  No

  N/A

• 4.8 (GMR) Ladders must only be used as a primary means of access and/or egress?

  Yes

  No

  N/A

5.0 Emergency Response

• 5.1 Is this emergency equipment referenced on the WAH Rescue Plan attached to the permit?

  Yes

  No

  N/A

• 5.2 Have working at height emergency rescue responsibilities been assigned?

  Yes

  No

  N/A

• 5.3 Have the emergency personnel been trained?

  Yes

  No

  N/A

6.0 Corrective Action/s

• Are there any corrective actions required to be raised as a result of this system assessment?

  Yes

  No

  N/A

7.0 Sign Off

• Person Conducting the System Assessement

  Sign