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Working at Height Checklist Template

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Permits / JHA
Is the Permit and JHA signed and current
JHA number on Permit
Is the JHA / Permit relevant to task
Is a rescue plan attached to the JHA
Good To Go
Do employees have a Good to Go
Is the Good to Go relevant to the task
Safety Systems
Fall Arrest / Restraint test and tagged
Is harness used in a safe manner and fitted correctly
Are rated anchor points used
Is there sufficient Barricading / Drop Zone / Signs n place
Are tool lanyards and drop sheets being used correctly
EWP Operations
Is the EWP Logbook filled out
Is the EWP Checklist filled out
Is the Spotter / Operator licensed and VOC'd
Is there good communication between the Operator and Spotter
Is the Operator using the EWP safely
Scaffolds / Ladders
Is the Scafftag in place and current ( 14 Days )
Is Ladder 3meters away from the edge
Is the Safety Step 2 Meters from the edge
Is there safe Access / Egress
Safe Access / Egress to work site
Safe storage of Plant and Equipment
Is there access to emergency equipment (First Aid Kits / Fire Extinguisher)
Slip, Trip and Fall hazards controlled
Are loose items secure
Are manual handling controls in place
Is correct PPE used and in good condition
Comments and Sign Off
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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