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16B Work at Height Checklist

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ER Mukesh Thakur
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0% found this document useful (0 votes)
6 views

16B Work at Height Checklist

Uploaded by

ER Mukesh Thakur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Metalik Fuel Private Limited

CHECKLIST FOR WORK AT HEIGHT


Doc No: MFPL/SAFETY/WAH CHK/16B Revision No:
Date: 01.05.2023 Checking date:
Dept./Agency: Location:

Prepared by : Mr. Farhan Ali Checked by: Mr. Parijat Ghosh Approved by : Mr. R.S Dhillon
# CHECK ITEMS PHOTOS Y/N # CHECK ITEMS PHOTOS Y/N
1. Safety net provided during 2. Safety harness used
height work at required area according to height

3. Horizontal life line availability 4. Temporary/ permanent


as required. working platform provided
with double guard railing

5. 3 - U Clamps for fixing dead 6. Ladder access provided as


ends and turn buckle to tight per ladder checklist
the life line is available

7. Rescue arrangement system 8. Tools are secured by rope


available during height work with wrist/ waist to
protect fall

9. Vertical ladder available with 10. Stair & path way free from
vertical life line and vertical obstructions & Slippery
fall arrestor system material

11. Ground barricading under the 12. Illumination arrangement


height work vicinity and a in dark hours and
continuous watcher is there permission from SLT
to restrict unauthorized entry

13. Medical arrangement & 14. Vertical fall arrester


stretcher available system for fall protection.

Contractor’s Incharge/ Supervisor’s name & signature:

MFPL Line Managers/ Supervisor’s name & signature:

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