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WORK AT HEIGHTS CHECKLIST (attach to completed JSA) Site location, name: Date: Description of activity or task over 1.5m (5 feet grade to feet): Maximum height workers will be exposed to: Yes *No.

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How to fill out the Work At Heights Checklist - Mft Security Ottawa - Mftsecurity online

The Work At Heights Checklist is an essential tool for ensuring safety when performing tasks at heights over 1.5 meters. This guide provides clear, step-by-step instructions to help users fill out the checklist accurately and efficiently.

Follow the steps to complete the checklist effectively.

  1. Click the ‘Get Form’ button to access the Work At Heights Checklist. This action will allow you to download the form and open it for editing.
  2. Begin filling out the form by providing the site location and name along with the date at the top of the checklist. This identifies where the work at heights will take place.
  3. Describe the activity or task that will occur above 1.5 meters. This information is critical for understanding the context of the work.
  4. Next, indicate the maximum height to which workers will be exposed by filling in the corresponding field. Choose 'yes,' 'no,' or 'N/A' as appropriate.
  5. In the work at height control method section, select the applicable options for safety measures like railings, travel restraint, or fall arrest. Additionally, verify if there is a documented emergency plan or if a professional engineer has designed the horizontal lifeline system.
  6. For equipment for access to work at height, check the appropriate boxes for ladders, scaffold, power elevated work platform, or specify any other equipment being used.
  7. Document the necessary worker training received by individuals involved in the effort, ensuring they have certifications for work at height, power elevated work platform operation, and scaffold building and dismantling as applicable.
  8. Confirm the status of equipment inspections by answering questions related to maintenance and inspection records for power elevated work platforms, ladders, safety harness gear, and scaffolds.
  9. In the working near excavations or overhead utilities section, indicate whether the control zone is identified and if travel restriction systems are established when working in that area.
  10. Lastly, complete the checklist by filling in the name of the person who completed the form, their position, the supervisor's name, and the date of completion.
  11. After completing the form, ensure to save any changes made. You can then download, print, or share the checklist as needed.

Complete your Work At Heights Checklist online to ensure safety and compliance.

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