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

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
2.13 2 Have risk assessments been conducted?
2.14 2 Are the required measures identified in the risk assessments implemented on site?
2.15 2.1 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?
2.16 2.1 Is there a written requirement that in the design of new facilities and modifications to
existing facilities, an appropriate design standard is used?
2.17 2.1 Is there a written requirement that in the design of new facilities and modifications to
existing facilities, designs conform to statutory regulations?
2.18 2.1 Is there a written requirement that in the design of new facilities and modifications to
existing facilities, provisions to prevent falls are clearly identified in specifications?
2.19 2.1 Do the design personnel understand the requirements?
2.20 2.1 Do the designs conform to the above?
2.21 2.2 Where provisions to prevent falls were contained in purchasing specifications, and
these provisions were changed, were changes made only with the consent of the
originator of the specification?
2.22 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)?
2.23 3 Are all persons responsible for work carried out at height competent in the site
management systems used for the prevention of falls?
2.24 3 Are persons who will be required to work where they are exposed to a risk of falling
(and their supervisors) able to participate in a risk assessment of the work?
2.25 3 Are persons who will be required to work where they are exposed to a risk of falling
(and their supervisors) familiar with the control measures for fall prevention?
2.26 3 Are persons who will be required to work where they are exposed to a risk of falling
(and their supervisors) competent in the correct use of control measures?
2.27 3 Are competencies assessed and documented?
NA YES NO Documents that you should be able to access Comments or Further action
SAF-MHSAQ-08 Rev 1 Issued: 11/07/00
Operations Manager
Page 8 of 64