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

access and actions required<br />

Comments<br />

1.25 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 />

1.26 5.2 Do persons who supervise or work in shrink stopes understand the requirements?<br />

1.27 6 Is there a procedure being followed for using, inspecting and servicing PFRE and<br />

PFAE?<br />

1.28 7 Is there a procedure being followed for working around open holes th<strong>at</strong> st<strong>at</strong>es a risk<br />

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

exposed to open holes?<br />

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

Senior Manager<br />

Page 6 of 64

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