WORKING AT HEIGHT INSPECTION CHECKLIST

Location: Company: Date/Time:

Please tick () where applicable. YES NO N/A

1. Open side where a person is liable to fall is covered or guarded by effective guard-rails?
2. Guard-rails provided are of good construction, sound construction and of adequate
strength to withstand impact during the course of work?
3. Floor openings where a person is liable to fall are covered effectively and barricaded with warning
signs?
4. Personnel working at height have adequate training to perform his task in a safe
manner?
5. Proper means of access & egress provided for personnel who are liable to fall at any height?

6. Personnel working at height have been briefed on the fall protection plan?

7. All loose materials where it is liable to fall are secured or toe-boards provided to prevent accidental
displacement?
8. All hand tools are secured via means of an effective lanyard?

9. Safety harness being used by personnel working at height is in good condition?

10. Safety harness is anchored off at the correct anchorage point?

11. Personnel working at heights where they are liable to fall maintaining 100% tie-off?

12. Adequate barricades and warning signs are provided when personnel are working at height?

13. Emergency rescue plan in place and communicated to personnel working at height?

14. Emergency rescuers are appointed and competent?

15. No incompatible works? (i.e. personnel working directly below)

Remarks(please specify):

Inspected by(Subcontractor supervisor in charge):

(name) (sign) (date/time)

Verified by(Hexacon Trade in charge):

(name) (sign) (date/time)