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Work at Heights Safety Checklist

This document is a checklist for working at heights that includes questions about control methods, equipment, training, and inspections. It addresses safety topics like fall protection systems, access equipment, worker certification, equipment inspections, and overhead utilities. The checklist is to be completed with yes, no, or N/A answers and attached to a job safety analysis for any work at height activity.

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Adnan Alghamdi
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162 views1 page

Work at Heights Safety Checklist

This document is a checklist for working at heights that includes questions about control methods, equipment, training, and inspections. It addresses safety topics like fall protection systems, access equipment, worker certification, equipment inspections, and overhead utilities. The checklist is to be completed with yes, no, or N/A answers and attached to a job safety analysis for any work at height activity.

Uploaded by

Adnan Alghamdi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

WORK AT HEIGHTS CHECKLIST

(Attach to completed JSA)

Project/Facility Reference: ______________________ Project/Facility Reference: ______________________

Description of Activity: ______________________

Yes *No N/A COMMENTS


1. Work at height control method:
a) Railings   
b) Travel Restraint   
c) Fall Arrest   
Where fall arrest applies:
d) Is there a documented emergency plan?   
e) Has a horizontal lifeline system been designed by a   
professional engineer?
2. Equipment for access to work at height:
a) Ladders   
b) Scaffold   
c) Power elevated work platform   
d) Other: __________________
  
3. Worker training:
a) Work at height certification (mandatory in Ontario)   
b) Power elevated work platform operation (oral and   
written)   
c) Scaffold building and dismantling
4. Equipment inspection:
a) Did power elevate work platform maintenance   
inspections documented and complete?
b) Did power elevate work platform manufacturer’s design   
certification available?
c) All ladders inspected and in good condition?   
d) All safety harness gear certified and inspected?   
e) Did scaffold inspect before use?   
5. Working Near Excavations/Overhead Utilities
a) Is the control zone identified? Dependent on the depth   
of dig, and soil composition, overhead wires
b) Are travel restriction systems in place when work is   
required in the control zone?

*Where the question is applicable and response is 'NO' do not proceed with work at height

Completed by: ______________________

Signatures: _____________________ Date: ______________________

HSE Documents-W@H/Checklist Rev: 001 Issued: April 2020 Page 1 of 1

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