Nick Vogel

Working From Heights (test)

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site conducted
Conducted on
Prepared by
Location

Using the platform.

Has the Platform been inspected for defects by both the operator and team member?
Does the forks fit completely in the slots underneath the platform?
Has the safety chain been connected to the mast properly?
Has the 5 point harness & lanyard been inspected for any defects?
Has the 5 point harness properly fitted and lanyard attached to the harness and platform (cage)?
Has the isle been properly closed off to keep MHE and pedestrians out of the area?

Nick Vogel

Working From Heights (test)

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.