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Grasfm30 W H Risk Assessment Che
GRASFM30 - W@H Risk Assessment Checklist
INSTRUCTIONS
This checklist is to be used as a reference by the Task Supervisorto assist in determining whether a structure or elevated work position is suitable to access and work on. A copy of this document must be held by the Team Supervisor whilst on site andmaintained/filed for future reference. The Risk Assessment should be performed prior to undertaking Work at Heights and recorded in the site Log. Email or return copy to GRA.
Project
- None -
Site A
Site B
Site C
Site D
Site E
Supervisor
Date Applicable
On Site Staff (min 2)
Scope of Activity
Maintenance
Inspection
Other
If other, provide details
If an issue is identified –implement controls to minimise risk
DO NOT COMMENCE WORK UNTIL ISSUES ARE RESOLVED.
Contact GRA 03 9551 0465
Supervisor notified of arrival on site and confirm WAH requirement?
Yes
No
Confirm persons are competent to perform WAH, operate EWP, Crane?
Yes
No
Confirm EME / RF hazards have been identified and are adequately controlled?
Yes
No
Establish necessary emergency / retrieval provisions?
Yes
No
What are the retrieval provisions?
Hazard (table example)
Hazards
General site access hazards
Yes
No
N/A
Comments / Details of controls
Inclement weather conditions: High winds
Yes
No
N/A
Comments / Details of controls
Inclement weather conditions: Poor visibility
Yes
No
N/A
Comments / Details of controls
Unprotected edge within 3mt
Yes
No
N/A
Comments / Details of controls
LAD-SAF tagged and in service?
Yes
No
N/A
Comments / Details of controls
EME / RF radiation?
Yes
No
N/A
Comments / Details of controls
AC cooling towers
Yes
No
N/A
Comments / Details of controls
Electrical / overhead power
Yes
No
N/A
Comments / Details of controls
Brittle / fragile roof area
Yes
No
N/A
Comments / Details of controls
Structural damage or deteriorated access
Yes
No
N/A
Comments / Details of controls
Slippery surface
Yes
No
N/A
Comments / Details of controls
Fumes and/or gases
Yes
No
N/A
Comments / Details of controls
Birds / Insects
Yes
No
N/A
Comments / Details of controls
Other hazards
Further comments or precautions regarding the above hazards
NOTE:
Report any hazards or problems associated with the site on a “Site Problem / Hazard Notification Form”
Issues for Review
Public exclusion zones required and established
Yes
No
N/A
Comments
Safety signage established
Yes
No
N/A
Comments
First Aid Kit readily available
Yes
No
N/A
Comments
Tower Rescue kit positioned ready for deployment
Yes
No
N/A
Comments
Personal fall protection equipment inspected
Yes
No
N/A
Comments
Tools and Equipment secured prior to ascent
Yes
No
N/A
Comments
Hardhat (w/-chinstrap)
Yes
No
N/A
Comments
Confirm maintenance logs of W@H Plant: Crane / EWP
Yes
No
N/A
Comments
Communications suitable and tested (on site and emergency contact)
Yes
No
N/A
Comments
Other:(Provide detail below)
Pre-Start Meeting/SWMS review Carried Out
All staff aware of tasks, associated hazards andrequired controls
Yes
No
N/A
On site team to initial
Re-order
Initials
Weight
Operations
Initials
Sign above
Item weight
Add more items
more items
Sign off
Name
Signature
Sign above
