Permit Non Standard Working at Heights

What are the hazards & the risks ?

• Slip trip and fall

• Falling objects

• Simultaneous operations

• Lone worker

• Access with no collective protection

• Poor access to the area for rescue

• Falling through roof / surface

• Climbing

Type of fall protection adapted to the task

Trained rescue team located at the work site

• Trained rescue team located at the work site

• Area of work restricted and signage in place

Watchmen in place who?

• Holes are barricaded or fall protection in place

• Tools attached and secured

• Safety net

Safe mean of access to elevated area Methode?

Scaffolding inspected/validated by competent person Who?

• Scaffolding inspection recorded and tag applied

• Scaffolding safe working load identified and followed

• Guardrail at the top of the scaffolding

• Wheels to be locked when scaffolding in use

• Weekly inspection of scaffolding

others :

Life line

• Helmet with chin strap

• Self retractable lanyard < 6 m

Others :

Rescue plan

• Rescue tripod + hoist / winch

• Identified rescue plan

Competent MEWP driver

Rescue team at location and identified

Training

• MEWP driving license

• Use of harness training

• Scaffolds training

• Work At Height training

Verification

• Do you confirm that the following elements are fully available, functional or implemented?

• All listed control measures implemented.

• Suitable PPE worn by all concerned people.

• Work area cleared, access restricted and sign posted.

• Nearby workers informed of work to be performed.

• Adequate training provided to all person involved.

Work Supervisor

Step by step job description is updated and attached to the Permit To Work

Formal briefing/toolbox talk delivered to and acknowledged by all workers affected by this PTW.

By Whom