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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 />

NA<br />

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

and actions required<br />

Comments<br />

4.43 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 />

4.44 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 appears sound, access onto the roof shall be by<br />

boarding installed by a competent and authorised person?<br />

4.45 5.1 Do persons who work on roofs understand the required actions prior to and whilst<br />

working on the roof?<br />

4.46 5.1 Have risk assessment been conducted for work on roofs?<br />

4.47 5.1 Have the required controls arising from risk assessments been implemented whilst<br />

conducting work on roofs?<br />

4.48 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 />

4.49 5.2 Do persons who supervise or work in shrink stopes understand the requirements?<br />

4.50 5.2 Do persons who work in shrink stopes comply with the standard?<br />

4.51 6 Is there a procedure being followed for using PFRE and PFAE?<br />

4.52 6 Does the procedure include anchorage points?<br />

4.53 6 Does the procedure include st<strong>at</strong>ic lines?<br />

4.54 6 Does the procedure include lanyards?<br />

4.55 6 Does the procedure include inertia reel arrest devices?<br />

4.56 6 Does the procedure include safety harnesses?<br />

4.57 6 Does the procedure include safety climb systems?<br />

4.58 6 Does the procedure include belay systems?<br />

4.59 6 Is there a procedure being followed for inspecting and servicing PFRE, PFAE and<br />

anchorage points?<br />

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

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

Page 24 of 64

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