WORKING AT HEIGHT CHECKLIST

Location : Job No. Job Name : Date : ___________

SL # Contents Yes / No. Remarks

Worksite Inspection

1 All the workers have been explained safe work-procedures ?

2 An established Communication system have been established and explained to the workers

3 Adequater illumination has been ensured.

4 Work-area inspected before starting of the job.

5 Area below the worksite barricaded, especially below hotworks

6 Workmen provided with bad / box to carry bolts, nuts and hand tools.

7 Arrangement for fasterning hand tools made.

8 All work platforms ensured to be of adequate strength and ergonomically suitable.

Fabricated made shift arrangements and checked for quality and type of material welding, anchoring
9 etc.

10 Work ar more than one elevation at the same segment is restricted.

Access / Egress
1 Walkways provided with hand-rails, mid-rail & toe guard ?
2 All chequered plates, gratings properly welded / bolted
3 Are ladders inspected and whether they are maintained in good condition
4 Are ladders spliced
5 Are ladders properly secured to prevent slipping, sliding or falling
6 Do side-rails extend 36" above top of landing
7 Are built ip ladders constructed of sound materials
8 Rungs and cleats not over 12" on center
9 Metal ladders not used aroung\d electrical hazards
10 Proper maintenance and storage
11 Ladders, staircases welded/ bolted properly
12 Any obstruction in the stairs
13 Are landing provided with hand with handrails, knee-rails toe-boards…etc.

14 Ladders placed at right slope

15 Whether ramp is provided with proper slope

16 Proper hand-rails/guards provided in ramps

Action to be taken :
 Page 1 of 2 ABE-HSE-F-17, Rev.00

WORKING AT HEIGHT CHECKLIST

Location : Job No. Job Name : Date : ___________

SL # Contents Yes / No. Remarks

House Keeping
1 Walkways, aisles and all overhead workplaces cleared of loose materials

2 Flammable material, if any, are cleared

3 All shuttering material are removed after de-shuttering is done
4 Platforms and walkways free of oil / grease or other slippery spillage

5 Collected scrap are brought down or lowered down and not dropped from height
P.P.E. & Safety Devices
1 Use of PPE ( below mentioned ) ensured for all workers
2 Safety Hard Hat
3 Safety Footwear
4 Full Body Harness while working should be anchoring
5 Hand Gloves
6 Coverall
7 Goggles
8 Anchoring Point provided at all places of work.
9 Common life-line provided wherever linear movement at height is required
10 Safety nets are in use wherever required
11 Proper fall arrest system is deployed at critical work places.
12 Crawler boards / Safety system for work on fragile roof are used

Recommendation and Corrective action

Site -In -charge / Supervisor /Engineer Inspection Date HSE Officer

Page 2 of 2 ABE-HSE-F-17, Rev.00