WORKING AT HEIGHT PRMIT

TT No :
Date :

Location :

Site Code(s) :

Type of work:

Riggers/Climbers:
I agreed that I’ve attended working at height training (inhouse). With my knowledge I have
utilized completed Personal Protective Equipment (PPE) and bring appropriate tools to
perform working at height work at mention above address location.
WAH
No Name Training Signature
Date
1.

2.

3.

4.

Supervisor:
I verify that the rigger(s)/climber(s) as name written above has been brief the hazard, risk,
proper climbing technique and utilize sufficient PPE with right tools for above mention work.

Start Work: __________am/pm End Work: __________am/pm

Name: Name:
Signature: Signature:
Date: Date:

Other Visitor (Optional) Name:

Signature:
Date:

OHS4-003
Rev 1