Job Planning - English HS-061ENG

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Doc. No.

: HS061ENG

Date of Issue: 09/06/16

Issue No.: 001


Job Planning Form
Page 1 of 3

Level 3 to complete all shaded sections (intended to replace Form 018R)


Site and company details
Name (Inc. IRATA no.)

Date / job length

Client details

Brief description of work


Details of task being
undertaken
Location
(include type of
structure/ cliff and
location of task on it)
Height

Access method
(e.g. straight drop, aid,
tensioned lines)
Communication
methods/ emergency
contact details
Permit to work
requirements
Anchor selection
Structure or substrate
used for anchors
(Inc. min. strength
requirements)
Equipment used to
connect to structure
or substrate (Inc. any
test requirements)
Rigging & emergency planning (attach sketch if applicable)
Describe the plan to
access the worksite

Describe the plan to


evacuate the worksite
(Inc. in an emergency)

Describe the plan to


rescue incapacitated
technicians
UNCONTROLLED WHEN PRINTED
Doc. No.: HS061ENG

Date of Issue: 09/06/16

Issue No.: 001


Job Planning Form
Page 2 of 3

Rigging requirements
(e.g. detail rig-to-
rescue system if used,
or rigging method &
rescue kit)

Team size & levels


required

Role and location of


technicians

Emergency equipment
required

Hazard identification, avoidance and rope protection


Hazards identified on
or near to path of
ropes

Method used to
protect technicians
against identified
hazards
Method used to
protect ropes against
identified hazards

Additional equipment
required

Third party protection (other workers and the public)


Exclusion zone
requirements

Dropped object
control measures

Equipment / materials
required for exclusion
zone, lanyards etc.
Task specific requirements

UNCONTROLLED WHEN PRINTED


Doc. No.: HS061ENG

Date of Issue: 09/06/16

Issue No.: 001


Job Planning Form
Page 3 of 3

Other personnel
certification
requirements
Other equipment,
materials and/ or
plant required for task

Safe handling
precautions for tools
and materials

Acceptance by work team of the work method and the rescue plan
Name IRATA number Signature

For guidance when completing this document, technicians should refer to the following:

• IRATA ICOP
• IRATA Safety bulletins
• Equipment manufacturer’s user instructions
• Additional manuals/ course hand-outs supplied by your IRATA training company

UNCONTROLLED WHEN PRINTED

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