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Self Assessment Questionnaire Safe Working at Height Major Hazard Standard

MHS-08 DocsOpen Ref: 57249, 11/07/2000

Uncontrolled copy – check web for latest revision

Revision Reviewed Description of Changes Date Approved

1 A Barfield Revised 11/07/2000 P Plavina

0 First Issue 19/06/1999 K Thomas

Major Hazard Standard Safe Working at Heights Self Assessment Questionnaire

Docs Open No 57249

CONTENTS 1 Purpose and Scope 3

2 How to use the Assessment 3

3 Roles and Functions 3

4 Interview Questionnaire 4

4.1 Senior Manager ..................................................... 4 4.2 Operations Manager.............................................. 7 4.3 Operations Team Leader .................................... 14 4.4 Operations Team Member .................................. 21 4.5 Maintenance Manager......................................... 26 4.6 Maintenance Team Leader ................................. 33 4.7 Maintenance Team Member ............................... 40 4.8 Support Manager................................................. 45 4.9 Support Team Leader ......................................... 52 4.10 Support Team Member ..................................... 59

Major Hazard Standard Safe Working at Heights Self Assessment Questionnaire

Docs Open No 57249

1 Purpose and Scope This document is designed to allow each person in the organisation to understand what they are responsible for when planning, designing, constructing, operating, maintaining or disposing of the processes covered by the standard. The assessment covers all requirements of the standard for Senior Managers, Managers, Team Leaders and Team members in the Operations, Maintenance and Support functions. By using this questionnaire, each person should be able to judge whether they have adequate skills, tools or written procedures to safely carry out their responsibilities for Safe Working at Height. The questionnaire is compiled from the Major Hazard Standard and the audit protocol. This self-assessment has no mandatory requirement to be used and how each site uses this questionnaire is to be decided by the site.

2 How to use the Assessment The questionnaire is divided into separate sections. Each section is designed for a different role and function. These are explained in roles and functions below, together with a selection of examples. Steps:

• First: Select the section of the questionnaire that applies to you; • Next: Read through each question answering with a Yes, No or N/A (Not Applicable); • Finally: Add comments relevant to the question and your circumstances.

3 Roles and Functions The questionnaire is divided into different roles and functions. The aim has been to develop questions that explore how you are complying with the requirements of the standard while taking into account the different responsibilities and activities that are present on each site. Each site will need to define where their management structure fits with the generic roles as listed below. When this has been achieved, all personnel on site will understand which section of the questionnaire applies to them. Roles are defined as follows:

Role Title Responsible for: Example Titles Senior Manager:

The activities of the whole site

General Manager, Site Manager, Project Manager, Mines Manager

Manager: The output of a number of teams

Metallurgical Manager, Underground Manager, Maintenance Manager

Team Leader: The output of a single team

Shift coordinator, Shift Boss, Maintenance Coordinator, Drilling Crew boss

Team Member Completing tasks so that the team will reach target outputs

Technician, Miner, Operator

Functions are defined as follows; Operations

Working on the processes that achieve output for sales.

Maintenance

Doing work that keeps Operations functioning so that they can make target output.

Support

Providing specialist knowledge and advice to Operations and Maintenance teams

Major Hazard Audit Protocol Safe Working at Heights – Self Assessment Questionnaire

** Uncontrolled copy. Printed 5/10/04 **

SAF-MHSAQ-08 Rev 1 Issued: 11/07/00 Senior Manager of 64

4 Questionnaire

4.1 Senior Manager

No. Std Ref

Questions to confirm compliance with the standard

NA YES NO Documents that you should be able to access and actions required

Comments

1.1 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for the requirement that risk assessments are conducted only by competent personnel?

1.2 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for selection of appropriate control measures by the hierarchy of controls?

1.3 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for compliance with all applicable current statutory and regulatory requirements

1.4 1 Does the site have a written policy and procedures for working at height that includes the responsibilities for ensuring personnel are not exposed to hazards arising from working at height?

1.5 1 Do the persons responsible understand their responsibilities?

1.6 2 Is there a written procedure being followed that states the site requirements to ensure work is not undertaken, where there is the risk of falling, without adequate fall prevention measures in place?

1.7 2 Do personnel who are responsible for conducting work at height understand the required measures?

1.8 2 Have risk assessments been conducted?

1.9 2 Are the required measures identified in the risk assessments implemented on site?

1.10 2 Is there a written requirement that in the design of new facilities and modifications to existing facilities all excavation, construction, operating, modification and maintenance activities for the foreseeable life of the asset are considered?

1.11 2 Do the design personnel understand the requirements?

1.12 2 Do the designs conform to the above?




No.

Std Ref



Comments

1.13 3 Is carrying out a risk assessment for safe working at height part of the site competence program for persons who are to work where there is the risk of falling (and their supervisors)?


1.15 3 Has competence been assessed and confirmed by a person qualified and authorised for the purpose and does their competence include training in workplace competence assessment?

1.16 3 Is there a procedure being followed which specifies the competency requirements for emergency services personnel to conduct a ‘rope rescue’?

1.17 4.1 Are there procedures being followed which state the design, construction, use and disposal requirements for work platforms?

1.18 4.1 Are the required records being kept?

1.19 4.3 Is there a procedure being followed for the use of mancages and is it in accordance with Appendix D4 of the standard?

1.20 4.3 Are there procedures being followed which state the measures for fall protection for vehicles, trucks and heavy equipment? Do these measures comply with the requirements of the standard?

1.21 4.3 Is work carried out on mobile equipment in accordance with the site requirements?

1.22 5 Are there procedures being followed which state that where persons are to work in an area that has no work platform and has been deemed by the risk assessment, to require controls to prevent falls, persons should wear fall-restraint equipment (PFRE) secured to an appropriate anchorage?

1.23 5 Is work carried out in accordance with this requirement?

1.24 5.1 Do the site procedures for working on roofs state that prior to working on or accessing any roof a risk assessment shall be conducted?




No.

Std Ref



Comments

1.25 5.1 Are there procedures being followed which state the structural integrity of a roof shall be determined and confirmed to be sound before:

• moving onto it? • storing materials on it? • rigging from it?

1.26 5.2 Do persons who supervise or work in shrink stopes understand the requirements?

1.27 6 Is there a procedure being followed for using, inspecting and servicing PFRE and PFAE?

1.28 7 Is there a procedure being followed for working around open holes that states a risk assessment process shall be used to define the controls required when personnel are exposed to open holes?



SAF-MHSAQ-08 Rev 1 Issued: 11/07/00 Operations Manager of 64

4.2 Operations Manager

No. Std Ref


NA YES NO Documents that you should be able to access Comments or Further action







2.7 2 Does the written procedure include measures to ensure that where practicable, the need to work where there is the risk of a fall is eliminated?

2.8 2 Does the written procedure include measures to ensure that risk assessments are conducted before the commencement of work and at any time the scope of work changes or the risk of a fall increases?

2.9 2 Does the written procedure include measures to ensure that appropriate measures are selected using the hierarchy of controls (Elimination, substitution, redesign, separation, administrative and personnel protective equipment) ?

2.10 2 Does the written procedure include measures to ensure that all equipment used is fit-for-purpose?

2.11 2 Does the written procedure include measures to ensure that at shift changes, incoming personnel are aware of the measures being used for work in progress?





No.

Std Ref





2.15 2.1 Is there a written requirement that in the design of new facilities and modifications to existing facilities all excavation, construction, operating, modification and maintenance activities for the foreseeable life of the asset are considered?

2.16 2.1 Is there a written requirement that in the design of new facilities and modifications to existing facilities, an appropriate design standard is used?

2.17 2.1 Is there a written requirement that in the design of new facilities and modifications to existing facilities, designs conform to statutory regulations?

2.18 2.1 Is there a written requirement that in the design of new facilities and modifications to existing facilities, provisions to prevent falls are clearly identified in specifications?

2.19 2.1 Do the design personnel understand the requirements?

2.20 2.1 Do the designs conform to the above?

2.21 2.2 Where provisions to prevent falls were contained in purchasing specifications, and these provisions were changed, were changes made only with the consent of the originator of the specification?


2.23 3 Are all persons responsible for work carried out at height competent in the site management systems used for the prevention of falls?

2.24 3 Are persons who will be required to work where they are exposed to a risk of falling (and their supervisors) able to participate in a risk assessment of the work?

2.25 3 Are persons who will be required to work where they are exposed to a risk of falling (and their supervisors) familiar with the control measures for fall prevention?

2.26 3 Are persons who will be required to work where they are exposed to a risk of falling (and their supervisors) competent in the correct use of control measures?

2.27 3 Are competencies assessed and documented?




No.

Std Ref




2.29 3.1 Is there an SWP procedure being followed which specifies the competency requirements for emergency services personnel to conduct a ‘rope rescue’?

2.30 4.1 Are there procedures being followed which state the design, construction and disposal requirements for work platforms?

2.31 4.1 Do persons who design, construct, and dispose of work platforms understand the requirements?

2.32 4.1 Are there procedures being followed which state the, use requirements for work platforms?

2.33 4.1 Are there procedures being followed which state the actions to be undertaken if work platforms do not meet the above requirements, and do these actions comply with Section 5 of the standard?

2.34 4.1 Do persons who use work platforms understand the requirements?

2.35 4.1 Are there procedures being followed which state the design and construction and disposal requirements for access equipment?

2.36 4.1 Do persons who design, construct and dispose of access equipment understand the requirements?

2.37 4.1 Are there procedures being followed which state the use requirements for access equipment?

2.38 4.1 Are there procedures being followed which state the actions to be undertaken if access equipment are to be used as a work platform, and do these actions comply with Section 5 of the standard?

2.39 4.1 Do persons who use access equipment understand the requirements?

2.40 4.2 Are there procedures being followed which state that work platforms and access equipment shall be inspected to confirm they are adequate before the first use?

2.41 4.2 Are there procedures being followed which state that work platforms and access equipment shall be inspected to confirm they are adequate at intervals determined by the operating conditions?




No.

Std Ref



2.42 4.2 Are there procedures being followed which state that work platforms and access equipment shall be inspected to confirm they are adequate prior to use following repairs and modifications?

2.43 4.2 Are there procedures being followed which state that work platforms and access equipment shall be inspected to confirm they are adequate as soon as practicable and prior to further use following an occurrence that could have affected the stability or adequacy of the work platforms or access equipment e.g. fire, collision, earthquake, overloading?

2.44 4.2 Is there a procedure being followed that requires scaffolds be inspected prior to first use and every 14 days by a licensed and authorised scaffolder?

2.45 4.2 Do persons who inspect work platforms and access equipment understand the inspection requirements?

2.46 4.2 Are records kept of inspections that have been completed?

2.47 4.2 Are there procedures being followed which state that work platforms, access equipment and access ways are to be serviced at intervals determined by the operating conditions?

2.48 4.2 Are there procedures being followed which state that work platforms, access equipment and access ways are to be serviced where inspections indicate a need?

2.49 4.2 Do persons who service work platforms and access equipment understand the servicing requirements?

2.50 4.2 Are records kept of services carried out?

2.51 Is there a procedure being followed for the use of mancages and is it in accordance with Appendix D4 of the standard


2.53 4.3 Do persons who work on mobile equipment understand the requirements?





No.

Std Ref




2.56 5 Does this procedure state that PFAE only be used when all other control measures have been explored and deemed to be inappropriate?

2.57 5 Do persons who work where there is no work platform understand the requirements for PFRE and PFAE?


2.59 5 Are there procedures being followed which state the requirements for anchorage points? Do these requirements comply with Appendix J of this standard?

2.60 5 Do persons who work where there is no work platform understand the requirements and selection of the appropriate anchorage points?

2.61 5 Are appropriate anchorage points used?


2.63 5.1 Do the site procedures for working on roofs state that appropriate control measures determined by the risk assessment shall be implemented?

2.64 5.1 Are there procedures being followed which state the structural integrity of a roof shall be determined and confirmed to be sound before: moving onto it? storing materials on it? rigging from it?

2.65 5.1 Are there procedures being followed which state where the integrity of the roof cladding cannot be determined, but the support structure isappears sound, access onto the roof shall be by boarding installed by a competent and authorised person?

2.66 5.1 Do persons who are responsible for work on roofs understand the required actions prior to and whilst persons are working on the roof?

2.67 5.1 Do persons who work on roofs understand the required actions prior to and whilst working on the roof?




No.

Std Ref



2.68 5.1 Have risk assessment been conducted for work on roofs?

2.69 5.1 Have the required controls arising from risk assessments been implemented whilst conducting work on roofs?

2.70 5.2 Are there procedures being followed which state PFAE shall be worn and secured to a static line that extends to the working area?


2.72 5.2 Do persons who work in shrink stopes comply with the standard?

2.73 6 Is there a procedure being followed for using PFRE and PFAE?

2.74 6 Does the procedure include anchorage points?

2.75 6 Does the procedure include static lines?

2.76 6 Does the procedure include lanyards?

2.77 6 Does the procedure include inertia reel arrest devices?

2.78 6 Does the procedure include safety harnesses?

2.79 6 Does the procedure include safety climb systems?

2.80 6 Does the procedure include belay systems?

2.81 6 Is there a procedure being followed Is there a procedure for inspecting and servicing PFRE, PFAE and anchorage points?

2.82 6 Is there a procedure Is there a procedure being followed for keeping records of acquiring, inspecting, servicing and disposing of PFRE and PFAE (including rescue equipment)?

2.83 6 Is there a procedure Is there a procedure being followed for ensuring that PFAE rescue equipment is used only for rescue purposes?

2.84 6 Is there a procedure being followed for keeping records of PFAE rescue equipment use?

2.85 6 Is there a procedure being followed for ensuring that persons required to use, inspect, service and dispose of personal equipment are competent and authorised to do so?

2.86 6 Is there a procedure being followed for specifying the age and condition for disposal for each item of PFRE and PFAE?




No.

Std Ref



2.87 6 Are these procedures readily available to the workforce?

2.88 6 Do persons who are required to use these procedures understand the requirements contained in them?

2.89 7 Is there a site procedure being followed for working around open holes that states a risk assessment process shall be used to define the controls required when personnel are exposed to open holes?

2.90 7 Is there a site procedure being followed for working around open holes that states where indicated by the risk assessment, access points to an open hole shall have signs identifying the risk?

2.91 7 Is there a site procedure being followed for working around open holes that states additional access controls may include barricades and/or the use of PFRE?

2.92 7 Is this procedure readily available to the workforce?

2.93 7 Do persons who are required to use this procedure understand the requirements of the procedure?

Counts



SAF-MHSAQ-08 Rev 1 Issued: 11/07/08 Operations Team Leader of 64

4.3 Operations Team Leader

No. Std Ref



Comments











