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Working at Height Risk Assessment Template
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Working at Height Risk Assessment Template
The Working at Height Risk Assessment Template is essential for professionals involved in tasks that require working at elevated levels.
This template is designed to assess and mitigate risks associated with working at height, ensuring the safety and well-being of all involved personnel.
It focuses on identifying potential hazards, evaluating the likelihood and impact of risks, and implementing effective control measures.
Working at Height Risk Assessment Template
Date of Assessment: __________________
Assessment Conducted By: __________________
Location/Area of Task: __________________
Review Date: __________________
Task Description
Description of Task Involving Working at Height: _________________________________
Duration and Frequency of Task: _________________________________
Type of Equipment or Access (e.g., ladder, scaffolding, platform): ________________________
Hazard Identification
Types of Hazards (e.g., falls, slipping, equipment failure): ______________________________
Source of Hazards: _________________________________
Potential Health and Safety Impacts: _________________________________
Risk Analysis
Persons at Risk (e.g., workers, bystanders): _________________________________
Probability of Hazard Occurrence: _________________________________
Severity of Potential Impact: _________________________________
Overall Risk Level (e.g., low/medium/high): _________________________________
Control Measures
Existing Safety Measures (e.g., harnesses, guardrails): _______________________________
Additional Control Measures Required: _________________________________
Action Plan for Implementation: _________________________________
Person Responsible for Implementation: _________________________________
Training and Competence
Training Requirements for Personnel: _________________________________
Competence Verification of Personnel: _________________________________
Equipment and Inspection
Condition and Suitability of Access Equipment: _________________________________
Inspection and Maintenance Schedule: _________________________________
Emergency Procedures
Emergency and Rescue Procedures: _________________________________
First Aid Arrangements: _________________________________
Monitoring and Review
Monitoring Procedures: _________________________________
Scheduled Review Date: _________________________________
Additional Comments
Signatures
Assessor’s Signature: __________________ Date: __________________
Approval Signature (if applicable): __________________ Date: __________________
___________________________________________________________________
The Working at Height Risk Assessment Template is an invaluable resource for enhancing safety in elevated work environments.
By systematically assessing risks and enforcing appropriate safety measures, it greatly reduces the likelihood of accidents and injuries.
Regular reviews and updates of the risk assessment are imperative to adapt to new hazards and maintain a high standard of safety compliance.
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