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WORK AT HEIGHT RESCUE PLAN
Rescue Plan Ref No:
Site Address:
Location/Area:
Company/Client:
Reference No:
Work at Height Dates: From: ………………………….. To: ………………………..……
Job/Task (involving work at height):
(Relevant Risk Assessments attached)
WAH Access Method/s:
Operators (Names of Operators involved in the work at height):
1. 2.
3. 4.
5. 6.
7. 8.
The WAH Rescuer is to check and emergency equipment is in good working
condition/order prior to proceeding with the work at height task and sign below.
Signature WAH Rescuer: Date:
(WAH Rescuer to remain with operators at all times for safety and communications)
Issue: 01 EHSC Ref: HSEF62/V1 Page 1 of 5
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WORK AT HEIGHT RESCUE PLAN
RESCUE
Communication
What communication systems will be used between the suspended worker and
Supervisor/ Rescue Team? (P as appropriate)
Direct Voice Communication * Whistle *
Mobile Phone * Two-way Radios/Headsets *
Emergency Contact
In the event of an emergency/fall from height the WAH Supervisor should immediately
alert the Rescue Team and first aid assistance -
Rescue Team
Name: ' :
Name: ' :
Name: ' :
First Aiders
Name: ' :
Name: ' :
Name: ' :
If the site Rescue Team is unable to affect a rescue within 5 minutes the Fire &
Rescue Service and the Ambulance Service are to be called on – 999 or 112 (mobile)
Local Accident & Emergency Hospital: ':
In all instances inform the Office of the situation ':
NB Once the Rescue Team is in attendance and if required, a nominated person is to
go to the site entrance to meet, and direct the emergency services, and provide the
following information:
Which floor/how high up the casualty is:
Operators’ condition after fall:
Issue: 01 EHSC Ref: HSEF62/V1 Page 2 of 5
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A43
WORK AT HEIGHT RESCUE PLAN
Safety of Rescuers (Pas appropriate)
Are there a sufficient number of Rescuers available? Yes * No *
Are Operators trained competent (& in date) in use of rescue equipment? Yes * No *
Is rescue equipment selected appropriate for nature of work? Yes * No *
Have assessments been made of anchor points, & are they in date for Yes * No *
test?
Has consideration been made to method of attaching casualty? Yes * No *
What obstructions are in the way of reaching the suspended Operator? (Detail):
How will rescuers get to casualty? (P as appropriate)
Rescue ladder * Remote rescue kit *
Keys to building & roof * Lift *
Pull casualty in through window/balcony * Pull casualty up through floor/slab/roof *
Suspended access equipment * Climb/abseil down building/structure *
Aerial equipment from ground * Crane man basket *
What equipment is needed to ensure rescue within 5 minutes in order to minimize
suspension trauma? (P as appropriate)
Rescue ladder * Aerial ladder truck *
Remote Rescue Kit * Suspended access equipment *
Toxic Shock Kit * Climbing/rope rescue system *
Safety ropes * Crane man basket *
MEWP * Stretcher *
First Aid Kit * Resuscitator *
Issue: 01 EHSC Ref: HSEF62/V1 Page 3 of 5
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WORK AT HEIGHT RESCUE PLAN
If Operative is injured (P as appropriate)
Can casualty still be rescued within 5 minutes? Yes * No *
Is a qualified first aider present? Yes * No *
Who and how will the emergency services and hospital be alerted? (Detail):
How will others be protected? (P as appropriate)
Assign someone to direct traffic
* Set up barriers *
How will Accident scene be protected? (P as appropriate)
Prevent further injury or damage * Set up barriers *
Preserve scene * Report incident/event *
Other Considerations
Lone working precautions (Detail):
Unusual features of building structure (Detail):
Weather Conditions (Detail):
Proximity to emergency services/hospital (Detail):
Language barriers (agency/contract staff) (Detail):
Issue: 01 EHSC Ref: HSEF62/V1 Page 4 of 5
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WORK AT HEIGHT RESCUE PLAN
WORK AT HEIGHT RESCUE PLAN PRODUCED BY:
Rescuer in Charge:
Name (print): Position:
Signature: Date:
APPROVAL OF WORK AT HEIGHT RESCUE PLAN:
Work at Height Supervisor:
Name (print): Position:
Signature: Date:
Authorising Manager:
Name (print): Position:
Signature: Date:
Issue: 01 EHSC Ref: HSEF62/V1 Page 5 of 5
© European Health & Safety Consultants Ltd
