Self Assessment Questionnaire Safe Working at Height ... - MIRMgate

Major Hazard Audit Protocol
Safe Working at Heights – Self Assessment Questionnaire
** Uncontrolled copy. Printed 5/10/04 **
No.
Std
Ref
Questions to confirm compliance with the standard
2.42 4.2 Are there procedures being followed which state that work platforms and access
equipment shall be inspected to confirm they are adequate prior to use following
repairs and modifications?
2.43 4.2 Are there procedures being followed which state that work platforms and access
equipment shall be inspected to confirm they are adequate as soon as practicable and
prior to further use following an occurrence that could have affected the stability or
adequacy of the work platforms or access equipment e.g. fire, collision, earthquake,
overloading?
2.44 4.2 Is there a procedure being followed that requires scaffolds be inspected prior to first
use and every 14 days by a licensed and authorised scaffolder?
2.45 4.2 Do persons who inspect work platforms and access equipment understand the
inspection requirements?
2.46 4.2 Are records kept of inspections that have been completed?
2.47 4.2 Are there procedures being followed which state that work platforms, access
equipment and access ways are to be serviced at intervals determined by the operating
conditions?
2.48 4.2 Are there procedures being followed which state that work platforms, access
equipment and access ways are to be serviced where inspections indicate a need?
2.49 4.2 Do persons who service work platforms and access equipment understand the
servicing requirements?
2.50 4.2 Are records kept of services carried out?
2.51 Is there a procedure being followed for the use of mancages and is it in accordance
with Appendix D4 of the standard
2.52 4.3 Are there procedures being followed which state the measures for fall protection for
vehicles, trucks and heavy equipment?
Do these measures comply with the requirements of the standard?
2.53 4.3 Do persons who work on mobile equipment understand the requirements?
2.54 4.3 Is work carried out on mobile equipment in accordance with the site requirements?
NA YES NO Documents that you should be able to access Comments or Further action
SAF-MHSAQ-08 Rev 1 Issued: 11/07/00
Operations Manager
Page 10 of 64