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

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Major Hazard Audit Protocol<br />

<strong>Safe</strong> <strong>Working</strong> <strong>at</strong> <strong>Height</strong>s – <strong>Self</strong> <strong>Assessment</strong> <strong>Questionnaire</strong><br />

** Uncontrolled copy. Printed 5/10/04 **<br />

No.<br />

Std<br />

Ref<br />

Questions to confirm compliance with the standard<br />

2.68 5.1 Have risk assessment been conducted for work on roofs?<br />

2.69 5.1 Have the required controls arising from risk assessments been implemented whilst<br />

conducting work on roofs?<br />

2.70 5.2 Are there procedures being followed which st<strong>at</strong>e PFAE shall be worn and secured to a<br />

st<strong>at</strong>ic line th<strong>at</strong> extends to the working area?<br />

2.71 5.2 Do persons who supervise or work in shrink stopes understand the requirements?<br />

2.72 5.2 Do persons who work in shrink stopes comply with the standard?<br />

2.73 6 Is there a procedure being followed for using PFRE and PFAE?<br />

2.74 6 Does the procedure include anchorage points?<br />

2.75 6 Does the procedure include st<strong>at</strong>ic lines?<br />

2.76 6 Does the procedure include lanyards?<br />

2.77 6 Does the procedure include inertia reel arrest devices?<br />

2.78 6 Does the procedure include safety harnesses?<br />

2.79 6 Does the procedure include safety climb systems?<br />

2.80 6 Does the procedure include belay systems?<br />

2.81 6 Is there a procedure being followed Is there a procedure for inspecting and servicing<br />

PFRE, PFAE and anchorage points?<br />

2.82 6 Is there a procedure Is there a procedure being followed for keeping records of<br />

acquiring, inspecting, servicing and disposing of PFRE and PFAE (including rescue<br />

equipment)?<br />

2.83 6 Is there a procedure Is there a procedure being followed for ensuring th<strong>at</strong> PFAE<br />

rescue equipment is used only for rescue purposes?<br />

2.84 6 Is there a procedure being followed for keeping records of PFAE rescue equipment<br />

use?<br />

2.85 6 Is there a procedure being followed for ensuring th<strong>at</strong> persons required to use, inspect,<br />

service and dispose of personal equipment are competent and authorised to do so?<br />

2.86 6 Is there a procedure being followed for specifying the age and condition for disposal<br />

for each item of PFRE and PFAE?<br />

NA YES NO Documents th<strong>at</strong> you should be able to access Comments or Further action<br />

SAF-MHSAQ-08 Rev 1 Issued: 11/07/00<br />

Oper<strong>at</strong>ions Manager<br />

Page 12 of 64

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