Description of Job:
Working at height
Work System
(area, equipment, materials,
processes):
Principal contractor company
name:
Item
Numb
er
Position
Work Activity
Break the job down into
steps
Handling materials
Signature
Hazards
IMS-36-25-GROUP
Position
Control Measures
Name
Signature
Persons Responsible
Who will make sure it
happens?
Date
Confirmation
of
Implementat
ion
Date and
signof
Shift Supervisor /
Foreman (CCC)
Page 1 of 4
IMS-36-25-GROUP
Shift Supervisor /
Foreman (CCC)
Shift Supervisor /
Foreman (CCC)
Page 2 of 4
Housekeeping
IMS-36-25-GROUP
area.
PPE shall be worn by all personnel
Approved scaffolding to be used or man
lift.
Verify ground condition level.
To be sure the man-basket is inspected
and valid certificated.
To be sure use double tag line for
control the man-basket
Need to continue check the wind speed
all time to be sure the man-basket safe
to use.
Only certified cranes operator allowed
operating the crane.
To be sure certified riggers to control
the man-basket.
Nobody allowed going out from the
man-basket while in lifting position.
Barricade the below ground level to
avoid any falling any object.
To be sure all time the door must be
close
All slings which attached to man-basket
must be inspected and color coded.
Regular inspection and corrective
actions.
Adequate stacking/ storage of material
at height.
Cleaning of work site.
Segregation storage for flammable
Shift Supervisor /
Foreman (CCC)
Page 3 of 4
materials if have.
IMS-36-25-GROUP
Page 4 of 4