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

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Major Hazard Audit Protocol Safe Working at Heights – Self Assessment Questionnaire ** Uncontrolled copy. Printed 5/10/04 ** 4 Questionnaire 4.1 Senior Manager No. Std Ref Questions to confirm compliance with the standard 1.1 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for the requirement that risk assessments are conducted only by competent personnel? 1.2 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for selection of appropriate control measures by the hierarchy of controls? 1.3 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for compliance with all applicable current statutory and regulatory requirements 1.4 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for ensuring personnel are not exposed to hazards arising from working at height? 1.5 1 Do the persons responsible understand their responsibilities? 1.6 2 Is there a written procedure being followed that states the site requirements to ensure work is not undertaken, where there is the risk of falling, without adequate fall prevention measures in place? 1.7 2 Do personnel who are responsible for conducting work at height understand the required measures? 1.8 2 Have risk assessments been conducted? 1.9 2 Are the required measures identified in the risk assessments implemented on site? 1.10 2 Is there a written requirement that in the design of new facilities and modifications to existing facilities all excavation, construction, operating, modification and maintenance activities for the foreseeable life of the asset are considered? 1.11 2 Do the design personnel understand the requirements? 1.12 2 Do the designs conform to the above? NA YES NO Documents that you should be able to access and actions required Comments SAF-MHSAQ-08 Rev 1 Issued: 11/07/00 Senior Manager Page 4 of 64
Major Hazard Audit Protocol Safe Working at Heights – Self Assessment Questionnaire ** Uncontrolled copy. Printed 5/10/04 ** No. Std Ref Questions to confirm compliance with the standard 1.13 3 Is carrying out a risk assessment for safe working at height part of the site competence program for persons who are to work where there is the risk of falling (and their supervisors)? 1.14 3 Is carrying out a risk assessment for safe working at height part of the site competence program for persons who are to work where there is the risk of falling (and their supervisors)? 1.15 3 Has competence been assessed and confirmed by a person qualified and authorised for the purpose and does their competence include training in workplace competence assessment? 1.16 3 Is there a procedure being followed which specifies the competency requirements for emergency services personnel to conduct a ‘rope rescue’? 1.17 4.1 Are there procedures being followed which state the design, construction, use and disposal requirements for work platforms? 1.18 4.1 Are the required records being kept? 1.19 4.3 Is there a procedure being followed for the use of mancages and is it in accordance with Appendix D4 of the standard? 1.20 4.3 Are there procedures being followed which state the measures for fall protection for vehicles, trucks and heavy equipment? Do these measures comply with the requirements of the standard? 1.21 4.3 Is work carried out on mobile equipment in accordance with the site requirements? 1.22 5 Are there procedures being followed which state that where persons are to work in an area that has no work platform and has been deemed by the risk assessment, to require controls to prevent falls, persons should wear fall-restraint equipment (PFRE) secured to an appropriate anchorage? 1.23 5 Is work carried out in accordance with this requirement? 1.24 5.1 Do the site procedures for working on roofs state that prior to working on or accessing any roof a risk assessment shall be conducted? NA YES NO Documents that you should be able to access and actions required Comments SAF-MHSAQ-08 Rev 1 Issued: 11/07/00 Senior Manager Page 5 of 64
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