Exiting and Entering an Elevated Aerial Work Platform Procedure
HSEOP-26-02: This procedure will outline the steps to follow when exiting/entering an aerial work platform on a PCL project.
PERMIT FOR EXITING/ENTERING AERIAL WORK PLATFORM
Project name
*
Company
*
Date
*
/
Year
/
Month
Day
Date
Time Issued
*
Hour Minutes
AM
PM
AM/PM Option
Expiry time
*
AWP Operation:
Describe in detail the work to be performed and the location/area involved:
*
Why can the work not be done by means other than exiting the AWP?(Scaffolding, alternate access)
*
AWP:
1. Make, type, model number:
*
2a. Describe accessories attached to the boom:
*
2b. Boom length and type:
*
3. Weight or capacity of aerial work platform (lbs):
*
4. Required operating radius:
*
5. Required lift height for AWP (specific height):
*
6. Pre-use inspection of AWP completed?
*
Yes
No
7. AWP operations trained in use of AWP?
*
Yes
No
Fall Protection:
1. Are workers wearing approved fall protection equipment that allows for 100% tie-off?
*
Yes
No
2. Do workers have fall-protection training?
*
Yes
No
Site and Structure Conditions:
1. Ground condition
*
Please Select
Dry
Wet
Undisturbed
2. Wind speed (mph):
*
2. Wind direction
*
Please Select
North
South
East
West
North-East
North-West
South-East
South-West
3. Weight of materials and/or small tools inside man basket (lbs):
*
4. Does adjacent structure have an approved tie-off point?
*
Yes
No
N/A
Submitted by:
*
Signature
*
Date
*
/
Year
/
Month
Day
Date
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PCL HSE OPERATING PROCEDURES
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