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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 />

8.71 6 Does the procedure include st<strong>at</strong>ic lines?<br />

8.72 6 Does the procedure include lanyards?<br />

8.73 6 Does the procedure include inertia reel arrest devices?<br />

8.74 6 Does the procedure include safety harnesses?<br />

8.75 6 Does the procedure include safety climb systems?<br />

8.76 6 Does the procedure include belay systems?<br />

8.77 6 Is there a procedure being followed Is there a procedure for inspecting and servicing<br />

PFRE, PFAE and anchorage points?<br />

8.78 6 Is there a procedure Is there a procedure being followed for keeping records of<br />

acquiring, inspecting, servicing and disposing of PFRE and PFAE (including rescue<br />

equipment)?<br />

8.79 6 Is there a procedure Is there a procedure being followed for ensuring th<strong>at</strong> PFAE<br />

rescue equipment is used only for rescue purposes?<br />

8.80 6 Is there a procedure being followed for keeping records of PFAE rescue equipment<br />

use?<br />

8.81 6 Is there a procedure being followed for ensuring th<strong>at</strong> persons required to use, inspect,<br />

service and dispose of personal equipment are competent and authorised to do so?<br />

8.82 6 Is there a procedure being followed for specifying the age and condition for disposal<br />

for each item of PFRE and PFAE?<br />

8.83 6 Are these procedures readily available to the workforce?<br />

8.84 6 Do persons who are required to use these procedures understand the requirements<br />

contained in them?<br />

8.85 7 Is there a site procedure being followed for working around open holes th<strong>at</strong> st<strong>at</strong>es a<br />

risk assessment process shall be used to define the controls required when personnel<br />

are exposed to open holes?<br />

8.86 7 Is there a site procedure being followed for working around open holes th<strong>at</strong> st<strong>at</strong>es<br />

where indic<strong>at</strong>ed by the risk assessment, access points to an open hole shall have signs<br />

identifying the risk?<br />

8.87 7 Is there a site procedure being followed for working around open holes th<strong>at</strong> st<strong>at</strong>es<br />

additional access controls may include barricades and/or the use of PFRE?<br />

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

access and actions required<br />

Comments or Further action<br />

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

Support Manager<br />

Page 50 of 64

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