Download Working at height action plan

Working at Height
Action Plan (W.H.A.P)
A quick guide to identifying the risks associated with working at height
and selecting appropriate control measures
TASK
Assessor
Name
Position
Dept/School
Date
Completed
Date
Approved
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Supervisor
Staff 1
Staff 2
WORKING AT HEIGHT – PLANNING AID
TASK
Provide an outline of the activity undertaken
VALIDATION
State why the task can not be undertaken at ground level
ACTIVITY
RISKS
Duration
Frequency
Fall distance
Severity of fall
Work space
Site access
Weather
restrictions
Danger area
TRAINING
Provide details of the competence required
STAFF 1
Name
Health Status
Competence
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Provide the names of the person undertaking the work
STAFF 2
Name
Provide the names of the person undertaking the work
Health Status
Competence
SUPERVISOR
Name
Provide name of the person responsible for supervising the work
Competence
EQUIPMENT
Specify the equipment needed and risk assessments required:
Standard*
Additional Risk Comments
Safe Working
Assessment
Practice
Required
Applies
Yes
No
Ladder
Step Ladder
Podium Step
Trestle
Telescope
Scaffold
Ropes
Lifting Device
Other
* Standard safe working practices refers to equipment that has been inspected and is in
good working order. Ground is level, stable, non slip and there is adequate working
space. Operatives are competent in the use of the equipment and the activity undertaken.
EMERGENCY RESCUE
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State the means by which an emergency rescue will be
undertaken
FALL PROTECTION
Tick as
Inspection Comments
appropriate date
N/A
Personal fall arrest
Nets
Airbags
Guard Rail
Parapet Wall
Other (please specify)
EQUIPMENT
Additional Risk Assessment Required? Yes/No
Hard hat
Tool belt/holder
or PPE
Communication
Other
PERSONS AT RISK
Operative
Adjacent Person(s)
Staff/Student/Visitor/Contractor
Staff/Student/Visitor/Contractor
ADDITIONAL
CONTROL MEASURES
Manual Handling
Lifting Operations
COSHH
Electricity at Work
Confined Space
Other
Other
Assessment Required
Tick if appropriate
SURFACE FACTORS
Stability
Provide details of the working area and local conditions
Level
Slippery
Fragile (on or near)
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