Use this template to guarantee safety and decrease fall hazards when operating at heights. Start by documenting the kind of work, identifying activities connected with operating at heights and creating worker’s profile. Next, define potential risks such as falling, slipping or tripping. Then continue with evaluating controls like training, preparation and correct use of fall protection systems and equipment. Finally, provide suggestions to improve safety.
Are there any activities related to working at heights?
Are the worker/contractors/members of the public at danger from work at height identified?
Identification of Hazards
Items falling on workers/members of the public
Worker falling from height
Slips/trips on lifted entrance ways
Worker falling through a fragile roof
Slipping/collapsing entrance equipment
Control Measures
FRAGILE ROOFS
Is unauthorised access to roofs/roof spaces restricted?
Are fragile roofs classified, marked especially where fragility is disguised?
Are warning signs attached to the entrance to fragile roofs?
OPEN EDGES
Are measures always taken to stop falling objects from injuring others as a consequence of working at heights?
Are handrails provided on the open side of staircases?
Are open vertical drops classified and accurately guarded when open?
Is fixed edge protection given to prevent fallswhere operating at heights cannot be avoided?
REFERENCE: Edge protection installed appropriately [This is an example of how you can use Lumiform to add best practice reference images in your templates to help with inspections]
LADDERS/ACCESS EQUIPMENT
Are ladders only utilised for light work of short continuation?
Are work platforms adequately wide to walk on without hazard of tripping or losing balance?
Are portable ladders, steps and all other entrance equipment frequently examined?
Are work platforms with edge protection, such as tower scaffolds etc. always used?
Are work platforms able to support workers, equipment, materials, the safe working loads registered and are they examined every six months?
Is there a log kept for assuring the quality of this equipment?
TRAINING
Have all employees who work at heights been evaluated as qualified or closely supervised by someone who is qualified?
CONTRACTORS
Do contractors perform safe written working methods for work at heights, are they screened/directed and is their work observed by a qualified person?
RACKING
Are personnel trained in safe working methods to enter high level racking?
Is storage accurately planned which discourages climbing racking or pallets to reach goods?
Are enough provisions in place to provide safe access to stored/displayed goods?
PROTECTIVE EQUIPMENT
Are anchorage points for safety harnesses and ladders given, used and frequently inspected?
Where the danger of falls cannot be eliminated are safety gears, fall arrest devices or safety nets used as demanded?
Write down yourpositive observations
PLANNING
When working at height is there always a qualified person present who can suspend work when conditions change, e.g. weather, traffic, the scope of work, etc.?
Is work at heights appropriately planned and organised?
Has the work area been inspected for hazards, e.g. moving machinery parts, overhead power lines, unsuitable ground conditions, etc.?
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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