Self Assessment Questionnaire Safe Working at Height ... - MIRMgate
Self Assessment Questionnaire Safe Working at Height ... - MIRMgate
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 />
6.41 4.2 Do persons who inspect work pl<strong>at</strong>forms and access equipment understand the<br />
inspection requirements?<br />
6.42 4.2 Are records kept of inspections th<strong>at</strong> have been completed?<br />
6.43 4.2 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> work pl<strong>at</strong>forms, access<br />
equipment and access ways are to be serviced <strong>at</strong> intervals determined by the oper<strong>at</strong>ing<br />
conditions?<br />
6.44 4.2 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> work pl<strong>at</strong>forms, access<br />
equipment and access ways are to be serviced where inspections indic<strong>at</strong>e a need?<br />
6.45 4.2 Do persons who service work pl<strong>at</strong>forms and access equipment understand the<br />
servicing requirements?<br />
6.46 4.2 Are records kept of services carried out?<br />
6.47 Is there a procedure being followed for the use of mancages and is it in accordance<br />
with Appendix D4 of the standard<br />
6.48 4.3 Are there procedures being followed which st<strong>at</strong>e the measures for fall protection for<br />
vehicles, trucks and heavy equipment?<br />
Do these measures comply with the requirements of the standard?<br />
6.49 4.3 Do persons who work on mobile equipment understand the requirements?<br />
6.50 4.3 Is work carried out on mobile equipment in accordance with the site requirements?<br />
6.51 5 Are there procedures being followed which st<strong>at</strong>e th<strong>at</strong> where persons are to work in an<br />
area th<strong>at</strong> has no work pl<strong>at</strong>form and has been deemed by the risk assessment, to require<br />
controls to prevent falls, persons should wear fall-restraint equipment (PFRE) secured<br />
to an appropri<strong>at</strong>e anchorage?<br />
6.52 5 Does this procedure st<strong>at</strong>e th<strong>at</strong> PFAE only be used when all other control measures<br />
have been explored and deemed to be inappropri<strong>at</strong>e?<br />
6.53 5 Do persons who work where there is no work pl<strong>at</strong>form understand the requirements<br />
for PFRE and PFAE?<br />
6.54 5 Is work carried out in accordance with this requirement?<br />
6.55 5 Are there procedures being followed which st<strong>at</strong>e the requirements for anchorage<br />
points? Do these requirements comply with Appendix J of this standard?<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:11/07/00<br />
Maintenance Team Leader<br />
Page 36 of 64
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