Accreditation Questionary Working at Height
Form
PCC / FUEL & RVI / CANOPY VENDORS` SUPERVISORS`
ACCREDITATION QUESTIONNAIRE - WORKING AT HEIGHT
SITE NAME : DATE OF ACCREDITATION:
MEINHARDT CM `S NAME: PCC / FUEL & RVI / CANOPY VENDORS STAFF NAME:
RISK Q Accreditation Questions Explanatio Explanatio
For PCC and /or Vendor`s n n Not
Supervisor. Satisfactor Satisfactor
y (Yes) y (No)
1.Is there any danger Q.1 How are you protected
of stored materials from falling objects?
falling from height? Q.2 Is it dangerous to keep
Are guards in place? loose materials on the
Is all material for platform or not?
use, neatly stacked Q.3 What can be done to
and stable? Are avoid such falling objects?
protective measures Q.4 Why fencing or barriers
taken? (E.g. are required?
barriers, fencing, Q.5 What type barriers or
covers, etc.). fencing to be made ready
before starting work on
Heights?
Q.6 Is Fall arrest equipment
MUST limit fall less than
2m?
2.If an open edge can Q.1 Can you explain the
be approached, a anchoring procedure of
safety harness and harness?
fixed rope should be Q.2 How many fixing point is
worn (e.g. work on sufficient to withstand
roofing or canopies). the load of a fall when
Is the safety rope ascending & descending?
attached above the Q.3 Are you going to use
user? Will the fixing worn or damaged safety
point withstand the harness?
load of a fall? Q.4 Does the body harness
provided comply with the
Std Requirement.
Q.5 How do you recognize it
is safe and not damaged?
Q.6 Why is "3 Point Contact"
important when
ascending / descending
the scaffolds?
3.Can the work be Q.1 Is it advisable to stretch
reached without your body while working
stretching? Is a good at height, how will you
handhold available? avoid this?
Q.2 Do you feel at present
location the work can be
completed without
stretching?
Q.3 At present location where
are you going to hold
youself to avoid
stretching your body?
4.Have competent Q.1 How do you know that a
people erected the scaffold is safe for use?
scaffolding and is it Q.2 What are the checks you
fit for purpose? Is will do before climbing a
the scaffold tied well scaffold?
back to the building Q.3 Do you need a ladder to
structure, preferably climb or you can use
with through ties to scaffolding tie rods as a
ensure that the ladder?
scaffold has Q.4 Why is it important to
additional achorage check the area around the
point where the scaffold? - what
ground condition can precautions are important
be sloping even around the area?
though level surface Q.5 How do you check
has been made locking of casters/wheels?
available? Are all
clips in place, tight
and in good
condition? Are
lockable casters and
outriggers provided?
5.Are the platforms Q.1 How did you ensure that
fully boarded, of the working platform is
sufficient width and safe for operation?
provided with Q.2 Can you sit on the
continuous toe platform high up while
boards and hand the scaffolding is moved?
railing? Are the toe Q.3 Will you work on the
boards at least platform when no hand
150mm high? Are rail is available?What is
there guard rails at the minimum height
1000mm above floor required of the handrail?
level and a mid rail Q.4 Will you work in case gap
at 500mm? Is a between toe guard and
permanent access hand rail is more than 500
ladder provided and mm?If no, why?
securely fixed in Q.5 What should be the
position? height of toe guard?
Q.6 What is the purpose of
toe guard?
Q.7 Should you hold the toe
board as a support to
climb up or come down?
Q.8 What is the purpose of
handrail?
Q.9 Will you need inside or
outside ladder for going
up and why?
6.To each concern. Q.1 How will you ensure that
Have the supplier's the ladder is proper and
recommendations scaffold is inspected
been followed for before use?
erection and use? Is Q.2 Do you know the
a permanent access supplier's
ladder provided and recommendation of
securely fixed in erecting a ladder?
position? Q.3 Are you aware of the
checks to be done before
fixing a use for safe tag?
Q.4 Will you check yourself
the scaffold for meeting
standards or just check
the tag and proceed with
the work?
7. Ladder is meant Q.1 Anchoring of harness
for "Access only not may not be possible on
for Working". some cases. True /
Working off ladders False?
at height, must be Q.2 If it is true what are you
strongly going to do in such cases?
discouraged. If this Q.3 Can any body work
is the only practical without ladders at
method of heights?
completing the work, Q.4 Do you know how to
clearance must be anchor, where harness
obtained from both rope length is more?
the Program and Q.5 Are you comfortable in
HSSE Manager. The using this harness or like
safety rope and to change to other model?
harness must be Q.6 Are you comfortable in
anchor to ensure working at heights
that no person can without harness, if so do
free fall more that 2 you like to work like that?
m. SMS 1 is the only Q.7 Can Ladder be shifted
equipment which is when someone working
approved to use in on it ?
construction outlets Q.8 Is over reaching beyond
for any WAH for the rungs of the ladder is
working platform admissable ?
above 2m. Any site Q.9 Is ladder can be used if
specific issues shall there are visible
be escalated to PM / restrictions such as
LPM / HSSE Mgr level welding helmets ?
& discussed before Q.1 Whether cross bracing at
commencement of 0 the rear of the ladder for
activity. standing or climbing can
be used ?
Q.1
Can ladder be used when
1
the wind speed beyond
50km/hr ?
PCC / FUEL & RVI / CANOPY VENDORS` SUPERVISORS`PRACTICAL
DEMONSTRATION - WORKING AT HEIGHT
Practical Demonstration to be witnessed Satisfactor Not
Demonstration by MEINHARDT CM / PM and y Satisfactor
comments, where required y
1.Ascending Scaffold
- full demonstration
of utilisation of PPE
required
2.Descending
Scaffold - full
demonstration of
utilisation of PPE
required
3.While On the
Paltform - full
demonstration of
utilisation of PPE
required
Accredited By Name / Signature Date
PCC Site Manager
Witnessed By
MEINHARDT CM
EXCAVATION WORKS ACCREDITATION CHECKLIST
–
FORM XYZ-0014B
PCC/Vendor Worker's ACCREDITATION QUESTIONNAIRE
"EARTHWORK EXCAVATION"
SITE NAME : DATE OF ACCREDITATION:
MEINHARDT CMs NAME: PCC/Vendor STAFF NAME:
RISK Q Accreditation Explanatio Explanation
Questions For n Not
workers Satisfactor Satisfactor
y (Yes) y (No)
A Requirement for Work A.1 Is this High or Low Risk
Permit / JSA & Method activity? Why?
Statement.
A.2 Can this activity start
without a Work Permit /
JSA & Method
Statement? Why?
1 Is there any danger of Q. How will you protect
structures, trees, 1 near by structures,
machines and machines and
equipment, or equipments ?
excavated spoils located Q. Is it dangerous to keep
near the excavation 2 excavated spoils at the
which might exert force edge of excavated
on the excavation walls? area?
Q. What can be done to
3 avoid collapse?
Q. Why fencing or barriers
4 are required around
excavated area? What
is the minimum
distance from the edge
where barricades
should be placed.
Q. Is there any danger to
5 place the heavy
equipment near to
excavation?
2 Is there any need that Q. Is it necessary to
all utilities, such as 1 identify these items
water, sewer, electrical prior to excavation?
and telephone lines Q. Can excavation be
located within the 2 started without
excavation properly identifying the
supported, removed, or underground utilities?
otherwise protected? Q. Sometimes it is not
3 possible to avoid
underground services.
Is there any need that
these services been
adequately supported
and protected?
Q. In which cases manual
4 excavation is required /
permitted?
Q. What will you do in
5 case you observe any
un identified cables
while excavation?
3 For the means of access Q. Is it advisable to use
and egress into 1 ladders and why?
trenches, do you use
standard ladders which Q. Do you feel the need
are properly secured 2 of an additional
and extended 1 mtr emergency ladder at
above edge of the excavation?
excavation? Q. Do you require to keep
3 the ladder in the
excavation after
completion of the days
job? If yes, pls explain
why?
Q. Will you ensure that
4 the ladder has a check
list carried out by the
Site Officer?
Q. What should be the
5 base for the ladder to
rest?
4 Why the signs, rigid Q. Will the barriers
fencing and barricades 1 prevent people or
placed appropriately vehicles from falling
and in sufficient into excavation? How
quantity around the would you ensure that
excavation? the barriers are firm?
Q. What are the checks
2 you will do before
entry into excavation?
Q. Why is it important to
3 check the area around
the excavation and
what precautions are
important around the
area?
5 Are all workers kept Q. How do you ensure
outside of the 1 this?
excavation whenever
mechanical digging, Q. Can you rest during
lifting or lowering 2 lunch time on
operation are excavated area or its
underway? nearby?
Q. Can you allow workers
3 moving around
excavated areas during
non-working period ?
Q. Will you go near to the
4 jib radius of excavator
during excavation?
Q. Whether a lone worker
5 shall be permitted in
trenches ?
6 The slope / shoring / Q. Will you ensure that
benching is provided to 1 the slope / shoring /
protect the collapse of benching is done as
soil. How will you per standard /
determine this? drawing ?
Q. Do you know the
2 requirement of slope /
shoring / benching?
Q. Are you aware of the
3 checks to be done after
every stages of
excavation and the
hazards increases with
the depth?
7 Is there adequate Q. Do you know why
illumination at the 1 adequate illumination
bottom of all is required at the
excavation? bottom of all
excavation?
Q. Is it required to have
2 good quality artificial
lights during low
visibility time and for
night work?
8 Requirement for Lifeline Q. When will this be
and harness. 1 required?
Q. Why do you need to
2 use a lifeline?
PCC/Vendor WORKER ACCREDITATION QUESTIONNAIRE
"UNDERSTANDING OF PRACTICAL ASPECTS OF BARRIERS, SLOPE STABILITY,
SHORING, ASCENDING AND DESCENDING"
Practical Demonstration Demonstration to be Satisfactor Not
witnessed by y Satisfactor
MEINHARDT CM/PM and y
comments, where
required
1 Positioning of ladders
with ascending and
decending demo
prior to requirement
for this activity.
2 Rigid fence and hard
barricading.
3 Incorporation of
lifeline and utilising a
harness demo prioir
to this activity.
Accredited By Name / Signature Date
PCC Site Manager
Witnessed By
MEINHARDT CM
ELECTRICAL WORKS ACCREDITATION CHECKLIST –
FORM XYZ-0014C
PCC/Vendor Site Officer`s ACCREDITATION QUESTIONNAIRE
ELECTRICAL WORK
SITE NAME : DATE OF ACCREDITATION:
MEINHARDT CMs NAME: PCC/Vendor STAFF NAME:
RISK Q Accreditation Questions Explanatio Explanation
For L3 Staff n Not
Satisfactor Satisfactory
y (Yes) (No)
A Requirement for Work A.1 Is this High or Low Risk
Permit / JSA & Method activity? Why?
Statement.
A.2 Can this activity start
without a Work Permit / JSA
& Method Statement? Why?
B Requirement for special B.1 Does the site electrical
qualification/licence activity require any special
licence/qualification from
the electrician?
B.2 If YES/NO, Why?
B.3 What are these
licence/qualification?
B.4 How would you ensure that
it is a valid
licence/qualifications?
C Requirement for C.1 What is meant by Lock Out
controlling electrical Tag Out ( LOTO)?
hazards
C.2 What is ELCB & how it
controls electrical hazard?
How many maps should be
the minimum rating?
C.3 What is Grounding/
Earthing?
C.4 What are the hazards of
improper grounding?
C.5 What are the protective
equipment to be used in
preventing electrical
hazard?
C.6 Is it advisable to work on a
electrical equipment during
rainy season/ wet
condition? Explain?
C.7 What is the emergency
control measure in case of
electrical shock?
C.8 Will you ensure that the
electrical inspection
checklist is carried out?
C.9 Are you aware of
recommended sequence of
activities for temporary
electrical connection?
Please Explain?
C.1 How do you extinguish
0 electrical fire? Can you use
water? Explain?
C.1 What type of extinguisher
1 do you use to put out
electrical fires?
C.1 How many extinguishers
2 are required and where are
their mandatory location in
a construction site?
D Requirement of electrical D.1 What is the frequency to
items check physical earthing
connection& What is the
acceptance criteria
D.2 Is there any danger of using
metal/aluminium/damp-wet
wooden ladders used
around electrical hazards?
D.3 When will you use flexible
cords? Explain
D.4 Is there any danger of using
worn or frayed cables and
cords?
D.5 What is the minimum
requirement for temporary
cables?
D.6 Is it advisable to keep
Temporary Distribution
Board at ground level &
How will you protect them
from traffic, weather and
ground water?
D.7 Should the mounting board
be on wooden frame? Why?
D.8 Should the switch board
housing be totally
watertight with the rain
canopy? Why?
E Controls of Overhead/WH E.1 Can you list out some
electrical Hazards equipment that can contact
power lines?
E.2 What is the control
measures you will take on
overhead powerlines?
Explain?
E.3 If you are working at height
with the use of scaffold
whether power source to be
live or switched off? Why?
E.4 What type of lanyard to be
used when person is
working for electrical
works?
E.5 What will you do in case
you observe any un
identified cables on ground?
F Requirement of electrical F.1 What are the general
tools checks you will carry out
while using electrical tools?
F.2 What are the minimum type
of tools that an electrician
should have?
F.3 Why do you need the
portable electrical & hand
tool inspection checklist?
What do you look out for?
G Requirements of general G.1 Which signs and posters to
electrical hazards be placed for electrical
&protection measures works?
G.2 How will you rescue
electrical shock victims? Do
you handle him while he is
electrified?
G.3 Is it hazardous of wearing
wrist watch ,rings or any
other metal jewellery while
working on electrical live
system?
G.4 Does low voltage means
low hazard?
G.5 Did you aware of electrical
load distribution?
G.6 Is there electrical
distribution schematic
drawing available at site for
reference?
G.7 Are you aware of dangers of
electrical shock? If so what
are these?
G.8 Is it necessary to de
energize electric equipment
before inspecting or
repairing? Why?
G.9 Which equipment is used
for locating underground
live electrical cable?
G.1 Is earth resistance tests
0 once every two months?
What is the acceptable
earth resistance value
( Individual earth pit
resistance )
PCC/Vendor ELECTRICIAN ACCREDITATION QUESTIONNAIRE
"UNDERSTANDING OF PRACTICAL ASPECTS OF HAZARDS& PROTECTIVE MEASURES IN
ELECTRICITY
Practical Demonstration Demonstration to be Satisfactor Not
witnessed by MEINHARDT y Satisfactory
CM/PM and comments, where
required
1 Utilising the site
Electrical Inspection
Checklist and
completing these in the
presence of CM/PM
Accredited By Name / Signature Date
PCC Site Manager
Witnessed By
MEINHARDT CM
