PowerQuick Powered Ascender
(27)
PQ500-1 1-Sep-15
17.
3.0 Industrial Rope Access Site Checklist (Sample)
Location: ___________________________ Date: __________
YES
NO
N/A
Is an appropriate Hazard ID and Risk Assessment document present for the tasks being
performed?
Are instructions available for any proprietary anchor systems being used?
Have all access personnel been briefed on their tasks and responsibilities?
Do all personnel have sufficient safety and protective equipment for their tasks. E.g. masks,
goggles, gloves, hearing protection?
Have all areas of public or trades access to the base and anchorage locations of the work
site been suitably signed and barricaded. (Also check for balconies)?
Is an RCD (earth leakage device) being used with any 240V power tools?
Access Rigging
Are two independently anchored ropes being used for each person?
Will the primary anchors sustain a force of 12 kN?
Does the proprietary anchor system have sufficient counterweights to sustain a load of 12
kN? (This information should be available in the contractor’s site documentation).
Do the ropes reach the ground or a suitable landing site and are they fitted with stopper knots
or similar?
Is sufficient padding of edges used to eliminate the chance of rope damage?
Are any deviation anchors of adequate strength?
Do any weather conditions (eg. wind) create a need for lateral restraint, or other precautions?
Has fall protection/prevention been arranged in the case of anchors being less than 2mtrs
from a dangerous edge?
Personal specific
Are all personnel qualified and correctly supervised?
Are the access workers all wearing full body harnesses?
Are the workers attaching themselves to both ropes before they suspend themselves?
Do the descender devices have a 'dead man' hands off function?
Are all workers wearing suitable helmets?
Are suspended workers able to communicate with another person at all times?
Does all equipment being used appear to be in good condition?
Are all tools secured to prevent dropping?
Are all tools over 8kg weight independently suspended?
Is a steel lanyard making the connection to the safety rope in the case of cutting or grinding
works?
Other, job specific
Rope Access Team Leader:
_______________________Signature:____________________
If any of the above boxes are marked NO, work should be halted until sufficient explanation can be provided.
It is the legal responsibility of the building manager or site foreman to ensure this work is carried out in an appropriate
manner.
Please use this area to address any issues raised on the front page of this document.
Issue raised
Explanation of actions
Changes to work method where
required
Issues resolved to the satisfaction of all parties.
Manager/Foreman:
Name____________________Signature________________Date____
Summary of Contents for PQ 500-1
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