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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 />

3.28 4.1 Are there procedures being followed which st<strong>at</strong>e the, use requirements for work<br />

pl<strong>at</strong>forms?<br />

3.29 4.1 Are there procedures being followed which st<strong>at</strong>e the actions to be undertaken if work<br />

pl<strong>at</strong>forms do not meet the above requirements, and do these actions comply with<br />

Section 5 of the standard?<br />

3.30 4.1 Do persons who use work pl<strong>at</strong>forms understand the requirements?<br />

3.31 4.1 Are there procedures being followed which st<strong>at</strong>e the design and construction and<br />

disposal requirements for access equipment?<br />

3.32 4.1 Do persons who design, construct and dispose of access equipment understand the<br />

requirements?<br />

3.33 4.1 Are there procedures being followed which st<strong>at</strong>e the use requirements for access<br />

equipment?<br />

3.34 4.1 Are there procedures being followed which st<strong>at</strong>e the actions to be undertaken if access<br />

equipment are to be used as a work pl<strong>at</strong>form, and do these actions comply with<br />

Section 5 of the standard?<br />

3.35 4.1 Do persons who use access equipment understand the requirements?<br />

3.36 4.2 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> work pl<strong>at</strong>forms and access<br />

equipment shall be inspected to confirm they are adequ<strong>at</strong>e before the first use?<br />

3.37 4.2 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> work pl<strong>at</strong>forms and access<br />

equipment shall be inspected to confirm they are adequ<strong>at</strong>e <strong>at</strong> intervals determined by<br />

the oper<strong>at</strong>ing conditions?<br />

3.38 4.2 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> work pl<strong>at</strong>forms and access<br />

equipment shall be inspected to confirm they are adequ<strong>at</strong>e prior to use following<br />

repairs and modific<strong>at</strong>ions?<br />

3.39 4.2 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> work pl<strong>at</strong>forms and access<br />

equipment shall be inspected to confirm they are adequ<strong>at</strong>e as soon as practicable and<br />

prior to further use following an occurrence th<strong>at</strong> could have affected the stability or<br />

adequacy of the work pl<strong>at</strong>forms or access equipment e.g. fire, collision, earthquake,<br />

overloading?<br />

3.40 4.2 Is there a procedure being followed th<strong>at</strong> requires scaffolds be inspected prior to first<br />

use and every 14 days by a licensed and authorised scaffolder?<br />

NA YES NO Documents th<strong>at</strong> you should be able to<br />

access and actions required<br />

Comments<br />

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

Oper<strong>at</strong>ions Team Leader<br />

Page 16 of 64

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