Self Assessment Questionnaire Safe Working at Height ... - MIRMgate
Self Assessment Questionnaire Safe Working at Height ... - MIRMgate
Self Assessment Questionnaire Safe Working at Height ... - MIRMgate
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
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 />
3.56 5 Do persons who work where there is no work pl<strong>at</strong>form understand the requirements<br />
and selection of the appropri<strong>at</strong>e anchorage points?<br />
3.57 5 Are appropri<strong>at</strong>e anchorage points used?<br />
3.58 5.1 Do the site procedures for working on roofs st<strong>at</strong>e th<strong>at</strong> prior to working on or accessing<br />
any roof a risk assessment shall be conducted?<br />
3.59 5.1 Do the site procedures for working on roofs st<strong>at</strong>e th<strong>at</strong> appropri<strong>at</strong>e control measures<br />
determined by the risk assessment shall be implemented?<br />
3.60 5.1 Are there procedures being followed which st<strong>at</strong>e the structural integrity of a roof shall<br />
be determined and confirmed to be sound before:<br />
moving onto it?<br />
storing m<strong>at</strong>erials on it?<br />
rigging from it?<br />
3.61 5.1 Are there procedures being followed which st<strong>at</strong>e where the integrity of the roof<br />
cladding cannot be determined, but the support structure isappears sound, access onto<br />
the roof shall be by boarding installed by a competent and authorised person?<br />
3.62 5.1 Do persons who are responsible for work on roofs understand the required actions<br />
prior to and whilst persons are working on the roof?<br />
3.63 5.1 Do persons who work on roofs understand the required actions prior to and whilst<br />
working on the roof?<br />
3.64 5.1 Have risk assessment been conducted for work on roofs?<br />
3.65 5.1 Have the required controls arising from risk assessments been implemented whilst<br />
conducting work on roofs?<br />
3.66 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 />
3.67 5.2 Do persons who supervise or work in shrink stopes understand the<br />
requirements?Counts<br />
3.68 5.2 Do persons who work in shrink stopes comply with the standard?<br />
3.69 6 Is there a procedure being followed for using PFRE and PFAE?<br />
3.70 6 Does the procedure include anchorage points?<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 18 of 64