Classification: Internal

Health Safety Environmental Management System

HSE Work Permit-Working at Height

Working at Height (Potential for falls more than 2 meters)

Note: Outdoor height work shall be suspended during inclement weather such as rain, storm and/or
if wind speed is above 18mph or 16 knots
SN Measure Yes No N/A Remarks
People involved in the task are fully equipped with necessary
1.
personal protective equipment

2. Access to the workplace is free from obstructions

3. Temporary access is provided and secured

Correct ratio between the base and slant height of the ladder,
4.
i.e., 1:4 is maintained

5. Used ladder is free from defects

6. Ladder is provided with rubber footing

7. No doors in way of ladders

8. Tools and accessories are carried in bags

9. Mechanised work platform is used for the task

Work platform is certified by an approved person in the last 6

10.
months

To ensure free from defects pre use inspection was conducted

11.
by a competent person on the work platform

12. Scaffolding provided for the tasks

13. Scaffolding certified “safe to Use” by competent person

14. Area below the work cordoned off

Rami Al Fattal Manager 03/08/2022

Name Designation DD/MM/YY
+971 55 376 6638 12/00
Contact
Signature HH/MM
Number

1
DHAM Version 0 AM-MP-07-F10