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POLICY UNDER REVIEW
Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department of Health), or Trust Board
decision. For guidance, please contact the Author/Owner.
Document Title Working at Height Policy
Date Issued/Approved: March 2016
Date Valid From: March 2016
Date Valid To: April 2020
Directorate / Department responsible (author/owner):
Health, Safety, Fire & Security Department
Contact details: 01872 25 2266
Brief summary of contents
This policy deals with working at heights for all staff and contractors. The policy places a requirement on all areas to carry out workplace inspections and risk assessments.
Suggested Keywords: Height, WAH, Health and Safety, ladder
Target Audience RCHT CFT KCCG
Executive Director responsible for Policy:
Director of Operations
Date revised: March 2016
This document replaces (exact title of previous version):
New document
Approval route (names of committees)/consultation:
Health and Safety Committee Risk Management Group Governance Committee
Divisional Manager confirming approval processes
Head of Health, Safety, Fire & Security
Name and Post Title of additional signatories
Not Required
Name and Signature of Divisional/Directorate Governance Lead confirming approval by specialty and divisional management meetings
{Original Copy Signed}
Not Required
Signature of Executive Director giving approval
{Original Copy Signed}
Publication Location (refer to Policy on Policies – Approvals and Ratification):
Internet & Intranet
Intranet Only
Document Library Folder/Sub Folder
Chief Operating Officer \Health, Safety and Fire
Links to key external standards
The Work at Height Regulations 2005 INDG401
Working at height - A brief guide PDF INDG455
Safe use of ladders and stepladders
Roof repair work - What you need to know as a busy builder PDF
Fragile roofs - Safe working practices PDF
HSG33 Health and safety in roof work
GS001 Solar panel installation - What you need to know to work safely
Related Documents:
Health and Safety General Policy Incident Reporting Policy Risk Management Policy Risk Assessment Policy and Procedure SFSM 007 Working from Height (risk assessment) Confined spaces Management Policy Contractors Policy and Procedures Ventilation Ductwork Access Walkways Policy and Procedure Slips, trips and falls prevention Policy and Guidance (HSP13) Health and Safety Policy on PPE
Training Need Identified? Yes
This document is only valid on the day of printing
Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust Policy on
Document Production. It should not be altered in any way without the express permission of the author or their Line Manager.
Working at Height Policy and Guidance
V1.0
March 2016
Summary.
Identify the task.
Can the work at
height be avoided?
N Identify the person(s) who will carry out the task
Y Does a Risk Y Assessment and
SSoW exist for this or a similar
Carry out the work at
ground level
task? N
Can it be
adapted to suit the
current task?
Complete a risk assessment and SSoW for the task.
N
Y
Inform, instruct, supervise and train staff. (Use HSE Guidance, Staff Briefings and other relevant
guidance from H&S department)
Monitor effectiveness of controls to ensure continued
protection of persons affected. Eg. Inspections, spot checks, Datix reports
Set an appropriate review date.
(eg. After an appropriate time, when new technology is introduced, when the situation changes significantly or
following an incident/near miss.
Table of Contents
Summary ............................................................................................................................. 2
1. Introduction ................................................................................................................... 4
2. Purpose of this Policy/Procedure .................................................................................. 4
3. Scope ........................................................................................................................... 4
4. Definitions / Glossary .................................................................................................... 4
5. Ownership and Responsibilities .................................................................................... 5
5.1. The Chief Executive ......................................................................................... 5
5.2. The Chief Operating Officer ............................................................................. 5
5.3. Role of All Directors and Senior Managers ...................................................... 5
5.4. Role of the Estates Department and Managers ............................................... 5
5.5. Role of the Managers ............................................................................................ 5
5.6. Role of the Health and Safety Committee .............................................................. 7
5.7. Role of the Health and Safety Team ...................................................................... 7
5.8. Role of Contractors ................................................................................................ 7
5.9. Role of Individual Staff ........................................................................................... 7
6. Standards and Practice ................................................................................................ 8
6.1. Principles ............................................................................................................... 8
6.2. Training ................................................................................................................. 8
6.3. Risk Assessment .............................................................................................. 9
6.4. Equipment ............................................................................................................. 9
6.5. The use of ladders ......................................................................................... 10
6.6. Falling Objects ............................................................................................... 10
6.7. Accidents, Near-misses, Incidents and Occupational Ill Health ..................... 11
7. Dissemination and Implementation ............................................................................. 11
8. Monitoring compliance and effectiveness ................................................................... 11
9. Updating and Review .................................................................................................. 11
10. Equality and Diversity .............................................................................................. 11
10.2. Equality Impact Assessment ............................................................................ 12
Appendix 1. Governance Information ................................................................................. 13
Appendix 2. Initial Equality Impact Assessment Form ....................................................... 15
Appendix 3. Risk Assessment............................................................................................ 17
1. Introduction 1.1. This policy deals with working at heights for all staff and contractors. The policy places a requirement on all areas to carry out workplace inspections and risk assessments.
1.2. This version supersedes any previous versions of this document.
2. Purpose of this Policy/Procedure 2.1. The Work at Height Regulations 2005 applies to all work at height where there
is a risk of a fall liable to cause personal injury.
2.2. They place duties on employees, the self-employed, and any person that controls the work of others (e.g. Facilities Managers or building owners who may contract others to work at height).
2.3. This policy outlines the steps to be taken by Royal Cornwall NHS Hospital Trust to ensure that staff or others do not work at height where this can be avoided, and where working at height cannot be avoided, that the risks are identified and measures put in place to prevent falls.
2.4. Any work at height needs to be properly planned in advance of the workactivity, appropriately supervised and carried out in a safe manner. Careful consideration should be given to the selection and use of work equipment.
2.5. The Trust will limit the need to work at height where possible by appropriate design and selection of materials and equipment in all capital projects and refurbishment schemes.
2.6. Where access at height is required to maintain buildings, permanent safety systems shall be incorporated into the finished project to facilitate any future maintenance requirements which are reasonably practicable.
3. Scope 3.1. This policy applies to all employees of Royal Cornwall NHS Hospital Trust, and all contractors and sub-contractors employed by the Trust. This policy applies to all work situations from where a person or equipment could fall a distance liable to cause personal injury, or access to and from such a place, including when third party employees are working for the Trust. It includes any place at or below ground level.
3.2. The safe access to structures to carry out maintenance works and the prevention of falls is the responsibility of all Trust managers who direct work activities. These managers need to be familiar with all current legislation and good working practice, including access systems and working at height.
4. Definitions / Glossary WAH Work at Height The Trust Royal Cornwall Hospitals NHS Trust RAMS Risk Assessments and Method Statements
A place is at height if (unless the Regulations are followed) a person could be injured falling from it, even if it is at or below ground level.
Work includes moving around at a place of work, but not travel to and from a place of work.
5. Ownership and Responsibilities
5.1. The Chief Executive
Has overall accountability for ensuring that RCHT meets its statutory obligations and that effective arrangements for the management of health and safety are put in place.
5.2. The Chief Operating Officer
The Chief Operating Officer is the nominated Executive Director with responsibility for Health & Safety across the organisation.
5.3. Role of All Directors and Senior Managers
5.3.1. The Senior Management Team are responsible for ensuring that systems are in place for the suitable and sufficient assessments of risk are undertaken and reviewed in their areas or responsibility. The assessment will include, where appropriate, the identification of suitable work equipment.
5.3.2. Management systems will be implemented and local enforcement undertaken of any work at height;
5.3.3. Senior Managers will also ensure that there is adequate provision of training, resources, equipment etc.
5.4. Role of the Estates Department and Managers
The Estates Department and Managers have responsibility for the control of contractors, checking and ensuring competency, agreeing risk assessments and method statements as per Control of Contractors Policy. They must also agree and sign off procedures detailing safe systems of work and when they are confident all measures are in place they will issue the relevant permits to work. The Estates department will hold a register of WAH equipment, indicating inspections undertaken and training given to staff.
5.5. Role of the Managers
All managers, supervisors who are responsible for employing or contracting people who will carry out work at height will ensure their staff read, understand and adhere to this procedure and related documents, and in addition the managers must:
Where possible, avoid working at height
Carry out an assessment of all tasks which could be classed as working at height
Ensure a Permit to Work (PTW) is in place where necessary
Working at Height Policy
Page 6 of 18
Determine the most appropriate means of access/ egress
Take into account weather conditions that could endanger health and safety
Plan for emergencies and rescue
Ensure staff carrying out the task are competent to use the equipment which will include correct assembly, and as appropriate fixing and securing
Provide collective protection measures (e.g. guard rails) priority over personal protection measures (e.g. safety harnesses).
Ensure that training is given to all staff using working at height equipment, which is appropriate to complexity of the equipment. For example a stepladder or step stool could be by local demonstration by a Manager or supervisor where a scaffold or access equipment will require formal training by the manufacturer or supplier. A record of training should be kept. The training should be refreshed periodically, as appropriate to the complexity of the equipment.
Ensure the risk of falling objects is minimised whilst working at heights e.g. the fitting of toe boards and/or netting should be considered
Implementing any actions identified from incidents
Ensure that any fragile areas are adequately marked and made known to employees or others as appropriate
Ensure that any system of access equipment in use for extended periods is subject to inspection by a competent person to ensure it remains safe, e.g. with scaffolding weekly inspections
Ensure access equipment is periodically examined even when not in use to ensure it is maintained in good condition.
Maintain a record of all ladders and steps within their work area and must ensure they are inspected every 6 months, and that a record of the inspection is kept. A master record is held within the Estates department with each ladder having a tag or other identifying marks in order to identify each ladder on the record.
As necessary engage specialist contractors where heights or the equipment needed are considered beyond the capability of employees.
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5.6. Role of the Health and Safety Committee
The Health and Safety Committee is responsible for:
Supporting and approving the contents of this Policy and guidance.
Periodic review of the Policy/guidance as indicated in Appendix 1. Governance Information.
5.7. Role of the Health and Safety Team
5.7.1. To review and investigate any incidents relating to work at height.
5.7.2. To make recommendations for changes to policy, guidance or procedures relating to WAH.
5.7.3. To audit work activities and equipment relating to WAH.
5.7.4. To offer advice and guidance for activities relating to WAH.
5.8. Role of Contractors
Are responsible for ensuring all their employees and sub- contractors are adequately trained and competent to carry out the tasks required. All contractors and subcontractors are responsible for following the agreed RAMS and safe systems of work. In addition, they must report any defects relating to work at height to the relevant Estates Officer or Project Manager.
5.9. Role of Individual Staff
All staff members must: 5.9.1. Take reasonable care of their own health and safety and that of others who may be affected by what they do or do not do;
5.9.2. Ensure any equipment they use remains safe, that they are authorised and trained to use the equipment and to ensure equipment, subject to periodic maintenance programme, has been maintained before using it;
5.9.3. Use the work at height equipment provided for them in accordance their managers’ or supervisors’ training and instruction;
5.9.4. Report any untoward activity or defect relating to work at height equipment which they believe is likely to endanger the safety of themselves or others;
5.9.5. Not interfere with or misuse anything provided for their or others’ personal protection;
5.9.6. Report any difficulty or danger regarding the height or the means of access to it, including reporting any ill health that may permanently or temporarily affect working at heights;
5.9.7. Comply with the requirements of Work at Height Regulations and subsequently this policy.
Working at Height Policy
Page 8 of 18
6. Standards and Practice
6.1. Principles
6.1.1. You must do all that is reasonably practicable to prevent anyone from falling.
6.1.2. The regulations set out a simple hierarchy of control for managing and selecting equipment for work at height:-
Dutyholders MUST:
Avoid work at height where possible
Use work equipment or other measures to prevent falls where work at height cannot be avoided
Where the risk of falling cannot be eliminated use work equipment or other measures to minimise the distance and consequences of a fall
6.2. Training
6.2.1. All staff involved in the assessment of risks arising from work at height in the work place shall receive training/instruction, commensurate directly with their duties.
6.2.2. All staff should be aware of the risks they may be exposed to and the findings of the risk assessment and controls in place.
6.2.3. Guidance can be found on the HSE website: http://www.hse.gov.uk/work-at-height/index.htm or http://www.hse.gov.uk/work- at-height/wait/index.htm
Working at Height Policy
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6.3. Risk Assessment
6.3.1. The completion of the risk assessment will be the responsibility of the local manger where the operations are occurring.
6.3.2. A copy of the completed assessment must be made available to both the staff involved in the operation and the Safety, Fire and Security Management Department.
6.3.3. A copy of the RCHT risk assessment for working at height (SFSM 007) can be found at Appendix 3.
6.4. Equipment
When selecting equipment to work at height the following factors need to be considered:
Working conditions - does the work involve positioning equipment on slopes or poor ground conditions or on fragile surfaces?
Distance to be climbed – portable ladders are less suitable for higher climbs and where loads are carried. Where possible, provide temporary stairs or scaffold access towers with internal stairs.
Duration and frequency of use – longer duration or regular jobs justify a better standard of fall protection. A ladder may be acceptable for short duration tasks.
Distance and consequences of a potential fall – fall arrest systems and safety nets must be used and deployed correctly if they are to help reduce the consequences of any fall.
Evacuation and rescue – make sure that it is possible to rescue any person who may fall and be left suspended from a roof edge.
Installation and removal – consider the number of people being place at risk when installing equipment. You may need to install collective protection measures i.e. those that can protect more than one person, in preference to personal protective measures. For example use a tower scaffold rather than work restraint.
Personal fall protective equipment – requires high level of training and appropriate close supervision. It is important that the right equipment is chosen for the right job and that it is being properly maintained.
Although this policy specifically refers to work at heights the Trust will ensure that opening restrictors are fitted to all windows in areas above the ground floor where patients have access. These fall protection measures will be installed and maintained by the Estates staff.
The HSE WAIT tool may be of assistance when selecting appropriate WAH equipment - http://www.hse.gov.uk/work-at-height/wait/wait- tool.htm
Working at Height Policy
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6.5. The use of ladders
6.5.1. The main cause of all injuries from working at height is people falling from ladders. Ladder and stepladder use can be justified using the bottom of the hierarchy, providing the user has been trained and instructed in the selection and safe use of ladders, and systems are in place to ensure ladders are maintained and inspected.
6.5.2. Decisions and authorisation of the use of ladders must be made by a competent person who has risk assessed the situation. Ladders do not prevent a fall or mitigate a fall but if used by trained operators in appropriate circumstances, i.e. low risk and for short durations, their use can be justified.
6.5.3. When it is necessary to use ladders precautions should normally be taken to prevent a leaning ladder slipping or falling (refer to HSE Guidance INDG455). The hierarchy of precautions in descending order of effectiveness is:
Where possible, tie (or equally effective secure) the ladder at the top. If this is not reasonably practicable; then
Tie it part way down (i.e. through a window), or at or near the foot; then
Use an effective ladder stability device; then
Wedge the ladder against a suitable fixed structure (e.g. a wall); then
‘Foot it’. The best method of footing is by facing the ladder with feet on the bottom rung, each foot as far apart as possible on the rung (stile to stile), and both hands on the stiles. The person footing the ladder should remain in the position described until the person using the ladder has descended to at least the halfway point. The user and footer should not overload the ladder.
6.5.4. Trust ladders and steps must confirm to BS 2037 (covering aluminium ladders, steps, trestles and lightweight stagings) Class 1 or BS EN 131 (covering ladders and step ladders constructed from aluminium, steel, plastics or timber). Domestic rated steps must not be used on Trust property.
6.6. Falling Objects
6.6.1. Where it is necessary to prevent injury the Trust will do all that is reasonably practicable to prevent anything falling from a height. Persons working at height must ensure that nothing is thrown or tipped from height if it is likely to injure anyone or stored in such a way that its movement is likely to injure anyone.
6.6.2. If the workplace contains an area in which there is a risk of someone being struck by a falling object or person, including any areas immediately below a fragile surface, the Trust will ensure that that area is clearly indicated and that as far as reasonably practicable unauthorised people are unable to gain access.
Working at Height Policy
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6.7. Accidents, Near-misses, Incidents and Occupational Ill Health
6.7.1. All accidents, incidents and ill health involving work at height must be reported directly to the manager of that department concerned and the incident reported on the Trust’s incident reporting system, Datix.
6.7.2. All such Datix reports will be fully investigated in accordance with the Trust Incident Reporting process.
7. Dissemination and Implementation
7.1. Document to be disseminated to the Health and Safety Committee for distribution throughout divisions and stored in the Trust Document Library with unrestricted access for all staff.
7.2. Notification of the publication of the policy will be made via the “One and All” email bulletin.
8. Monitoring compliance and effectiveness
Element to be monitored
Compliance with the policy will be monitored, in particular
WAH Risk Assessment WAH related incidents
Periodic audit of WAH compliance
Lead Health and Safety Committee
Tool Reports to the Health and Safety Committee from both divisions and
specialist advisors
Frequency In accordance with the Committee Terms of Reference
Reporting arrangements
Divisional monitoring through existing committee structures, summary report to Health & Safety Committee
Acting on recommendations and Lead(s)
The Health and Safety committee will lead on any recommendations accordingly.
Change in practice and lessons to be shared
Required changes to practice will be identified and actioned within a month. Lessons will be shared with all the relevant stakeholders
9. Updating and Review 9.1. This policy will be kept under review by the Health and Safety Committee. It will be reviewed periodically before the review date indicated in Appendix 1, or following any significant changes, such as a change in Chairman, Chief Executive, or there are major changes to existing legislation or new guidelines are introduced.
10. Equality and Diversity 10.1. This document complies with the Royal Cornwall Hospitals NHS Trust service Equality and Diversity statement which can be found in the 'Equality, Diversity & Human Rights Policy' or the Equality and Diversity website.
Working at Height Policy
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10.2. Equality Impact Assessment
10.3. All public bodies have a statutory obligation to undertake Equality Impact Assessments on all policy documents. This must be undertaken by the author using the agreed Equality Impact Assessment Template. The completed assessment is to be added to the end of the policy document as an appendix prior to it being ratified.
10.4. The Initial Equality Impact Assessment Screening Form is at Appendix 2.
Working at Height Policy
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Appendix 1. Governance Information
Document Title Work at Height Policy
Date Issued/Approved: March 2016
Date Valid From: March 2016
Date Valid To: March 2019
Directorate / Department responsible (author/owner):
Paul Freeman, Health and Safety Auditor
Contact details: 01872 252976
Brief summary of contents
This policy deals with working at heights for all staff and contractors. The policy places a requirement on all areas to carry out workplace inspections and risk assessments.
Suggested Keywords: Height, WAH, Health and Safety, ladder
Target Audience RCHT PCH CFT KCCG
Executive Director responsible for Policy:
Chief Operating Officer
Date revised: March 2016
This document replaces (exact title of previous version):
New document
Approval route (names of committees)/consultation:
Health and Safety Committee Risk Management Group Governance Committee
Divisional Manager confirming approval processes
Director of Estates
Name and Post Title of additional signatories
Not Required
Name and Signature of Divisional/Directorate Governance Lead confirming approval by specialty and divisional management meetings
{Original Copy Signed}
Name: Phil Bond
Signature of Executive Director giving approval
{Original Copy Signed}
Publication Location (refer to Policy on Policies – Approvals and Ratification):
Internet & Intranet
Intranet Only
Document Library Folder/Sub Folder
Estates / Health & Safety
Links to key external standards
The Work at Height Regulations 2005 INDG401 Working at height - A brief guide PDF INDG455 Safe use of ladders and stepladders Roof repair work - What you need to know as a busy builder PDF Fragile roofs - Safe working practices PDF
Working at Height Policy
Page 14 of 18
HSG33 Health and safety in roof work GS001 Solar panel installation- What you need to know to work safely
Related Documents:
Health and Safety General Policy Incident Reporting Policy Risk Management Policy Risk Assessment Policy and Procedure SFSM 007 Working from Height (risk assessment) Confined spaces Management Policy Contractors Policy and Procedures Ventilation Ductwork Access Walkways Policy and Procedure Slips, trips and falls prevention Policy and Guidance (HSP13) Health and Safety Policy on PPE
Training Need Identified? Yes
Version Control Table
Date Version
No Summary of Changes
Changes Made by (Name and Job Title)
2 Mar 16
V1.0
Initial Issue
Paul Freeman – Health & Safety Auditor
All or part of this document can be released under the Freedom of Information Act 2000
This document is to be retained for 10 years from the date of expiry.
This document is only valid on the day of printing
Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust
Policy on Document Production. It should not be altered in any way without the express permission of the author or their Line Manager.
Working at Height Policy
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Appendix 2. Initial Equality Impact Assessment Form
Name of Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy) (Provide brief description):
Directorate and service area: Corporate Health and Safety
Is this a new or existing Policy? New
Name of individual completing assessment: Paul Freeman
Telephone: Ext. 2976
1. Policy Aim* This policy deals with working at heights for all staff and contractors. The policy places a requirement on all areas to carry out workplace inspections and risk assessments
2. Policy Objectives* Ensure a working environment that is, so far as is reasonably practicable, conducive to the maintenance of good health of the user.
3. Policy – intended Outcomes*
To minimise the risks leading to ill health of staff working at height.
4. *How will you measure the outcome?
5. Who is intended to benefit from the policy?
All staff identified as working at height
6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy?
b) If yes, have these *groups been consulted?
C). Please list any groups who have been consulted about this procedure.
Yes
Yes
Health and Safety Committee
Working at Height Policy
Page 16 of 18
7. The Impact Please complete the following table.
Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Existing Evidence
Age
Sex (male, female, trans-
gender / gender reassignment)
Race / Ethnic communities /groups
Disability - Learning disability, physical disability, sensory impairment and mental health problems
Any employee with a declared health problem associated with work at height will be provided with reasonable adjustments to the working environment.
Religion / other beliefs
Marriage and civil partnership
Pregnancy and maternity
Sexual Orientation, Bisexual, Gay, heterosexual, Lesbian
You will need to continue to a full Equality Impact Assessment if the following have been highlighted:
You have ticked “Yes” in any column above and
No consultation or evidence of there being consultation- this excludes any policies which have been identified as not requiring consultation. or
Major service redesign or development
8. Please indicate if a full equality analysis is recommended. Yes No
9. If you are not recommending a Full Impact assessment please explain why.
Signature of policy developer / lead manager / director Date of completion and submission
Names and signatures of members carrying out the Screening Assessment
1. 2.
Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD
A summary of the results will be published on the Trust’s web site.
Signed
Date
Working at Height Policy
Page 17 of 18
SAFETY, FIRE & SECURITY MANAGEMENT DEPARTMENT
Appendix 3. Risk Assessment.
Risk Assessment – Falls From Height
Site: Choose an item. Click here to enter text. Division: Click here to enter text. Location: Click here to enter text. Outline of risk assessment: Click here to enter text.
Staff / contractors/ experts: Click here to enter text.
Hazard list – select your hazards and controls from the list below
Fall from height over 2 metres
(including falls from ground level)
☐
Falling objects
☐
Obstructions overhead
☐
Fall from height below 2 metres (including falls from ground level)
☐
Fragile roof/surfaces
☐
Poor lifting environment
☐
Fall into excavation ☐ Falling into water ☐ Restricted space ☐
Fall from steps ☐ Lone working ☐ Slips/trips ☐
Fall from ladder ☐ Manual Handling ☐ Vehicles/Traffic ☐
Fall from work platform ☐ Moving materials ☐ Weather/temperature ☐
Live work (only under separate permit)
☐ Obstructions ground level
☐ Other: Click here to enter text.
☐
Falling into hazardous substance
☐ Lifting/pushing/ pulling
☐ Other: Click here to enter text.
☐
Persons Exposed
Employees ☐ Patients ☐ Other: Click here to enter text.
☐
Contractors ☐ Students/Voluntary Staff
☐ Other: Click here to enter text.
☐
Human Factors (include necessary information, instruction and training)
Info/Instruction/Training required
☐ Externally trained ☐ Trained in house ☐
Competence required ☐ Experienced ☐ Competent ☐
Supervision required ☐ Supervised ☐ Part of a team ☐
Briefed ☐ Novice ☐ Lone working ☐
Other: Click here to enter text. ☐ Other: Click here to enter text.
☐ Other: Click here to enter text. ☐
Equipment Required
Scissor / Cherry picker ☐ Mobile towers ☐ Ladders ☐
Steps ☐ Fixed Scaffolding ☐ Harness (inspected) ☐
Guard Rails ☐ Toe Boards ☐ Fall Arrest (inspected) ☐
Hard Hats ☐ Lanyard ☐ Fall Restraint (inspected) ☐
Safety Boots ☐ Gloves ☐ Hi viz Vest ☐
Safety Glasses/Eye Protection ☐ Other: Click here to enter text.
☐ Other: Click here to enter text. ☐
Working at Height Policy
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Other: Click here to enter text. ☐ Other: Click here to enter text.
☐ Other: Click here to enter text.
☐
Working Environment
Safe Working Area ☐ Isolate Equipment ☐ Weather ☐
Cones/Barriers ☐
Work Equipment ☐ Emergency Rescue – Fully detailed emergency rescue plan MUST be attached
☐
First Aid Provision ☐ Inspected (complete the Ladder Inspection Checklist)
☐ Other: Click here to enter text.
☐
Assessor Name & Signature
Click here to enter text.
Date completed
Click here to enter a date.
Manager Name & Signature
Click here to enter text.
Date completed
Click here to enter a date.
Review Date: Click here to enter a date.
Please forward copies of this assessment to the Safety, Fire & Security Management Office, where you may also seek further advice if necessary.
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