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Templates

Working-at-heights FLHA template for Canadian worksites

A working-at-heights field-level hazard assessment (FLHA) checks the exact place where a worker could fall, the controls in place today and how the crew will respond if a fall or access failure occurs. Use this blank workface form before the task and whenever the location, equipment, weather, people or method changes. It complements the formal hazard assessment, fall-protection plan, equipment instructions and rescue procedure. It does not choose an anchor, prove fall clearance or approve a platform by itself.

This template covers a broader field task than roofing: ladders, scaffold, mobile elevating work platforms, floor openings, mezzanines, tank tops and other elevated positions. CCOHS's fall-protection overview notes that a fall hazard can exist even below a common numerical threshold, especially where a person could fall into an object, water or another hazard. Exact duties vary across Canadian jurisdictions. Alberta's OHS Code Part 9 is a useful Alberta-only example: it specifies when a plan is required, what it must contain and when it must be updated. Use the law governing the actual site rather than assuming the Alberta rule applies nationally.

Location, task and people

FieldSite-specific entry
Employer, project, exact work area and date/time
Work step, duration and location of every possible fall
Surface below: ground, equipment, water, process or opening
Access equipment and manufacturer's limits
Site fall-protection plan, permit and rescue reference
Chosen system and competent plan/anchor identifier
Workers, supervisor, equipment operator and rescue roles
Other trades, occupants/public and exclusion below
Weather, light and environmental conditions
Emergency communication, rescue equipment and route

Do not write “work at height” as the whole task. “Inspect valve above open process tank using approved platform” reveals a different fall consequence and rescue route from “install conduit from a scaffold”. Include the change points: moving a platform, opening a hatch, transferring from ladder to deck, or removing guardrails can create a new exposure that the first stage's controls did not cover.

Workface pre-start check

What must be checked here?Observed evidenceDifference from approved plan?Action/owner/GO-HOLD
Can the work be done from ground or protected level?
Open edges, holes, fragile covers and leading edge
Guardrail, cover, platform or other preventive control
Ladder/scaffold/MEWP suitability and inspection
Ground bearing, outriggers, wheels and access route
Approved anchor and equipment compatibility, if used
Fall clearance and swing-fall assessment in plan
Rescue plan and trained/equipped responders available
Power lines, traffic, moving plant and overhead work
Tools/materials controlled against dropping
Weather, visibility and communication

The CCOHS hierarchy of fall controls favours removing the need to work at height or preventing a fall through collective controls where practicable, before relying on a personal arrest system. Use the site's approved selection and local rule. “Harness available” does not tell the crew whether it is connected to a suitable anchor, whether the lanyard can arrest a fall before impact, or whether anyone can retrieve a suspended worker. Those are decisions for the competent fall plan.

Access equipment gate

Confirm that the selected ladder, scaffold or platform is designed for the task, load and surface and has been inspected under the current procedure. Check safe transfer on and off the equipment. A platform moved a few metres can have different ground bearing, power-line clearance, traffic or rescue access. Workers must be authorised and trained for the equipment and protective system as required locally. Do not substitute a makeshift platform because the correct one is unavailable. Where a lift or scaffold defect is found, tag it out according to the site's process and choose a safe method after competent review.

Anchor and clearance gate

If the approved method uses travel restraint or fall arrest, identify the exact anchor stated in the plan, equipment configuration and route of travel. CCOHS's anchor guidance discusses inspection and the importance of naming the anchors used for the work. The crew should verify that the anchor and system remain available and have no obvious damage; the competent designer determines suitability and strength under the actual law and standard. Do not copy a generic anchor rating into the FLHA. A line connected to an unverified handrail or roof feature is not automatically acceptable.

Rescue gate

The CCOHS working-at-heights rescue guide calls for site-specific procedures, responders, equipment, communications and rehearsal. Check where a fallen or stranded worker would end up, whether the rescue team can reach that point, and whether the equipment is actually on site. If the only plan is “call emergency services”, escalate before work begins; the site's competent rescue plan must consider a prompt response and safe retrieval. Record how rescuers are protected so a fall does not create another casualty.

Task-step hazard and control record

StagePerson and harm mechanismControl observed in placeExtra action/ownerGO/HOLD
Set up access and exclusion
Climb, transfer and position
Carry out elevated task
Move equipment or change work area
Descend, dismantle and hand back

Write a checkable control. “Guardrail installed and inspected around opening A” is stronger than “avoid opening”. “MEWP on firm ground with outriggers set per manufacturer and pedestrian barrier installed” says what must be present. If a stage involves removal of protection or a transfer between systems, name the approved temporary method and release authority. An FLHA cannot create an exception to the local fall law or design requirements.

Stop-work and restart record

Change or defectImmediate actionDecision required before restart
Missing/damaged edge protection or opening coverKeep people back; secure openingRestore/control and inspect
Anchor or personal equipment condition uncertainStop exposed workCompetent inspection and correct system
Insufficient clearance or rescue cannot be executedDo not use proposed fall systemRevised competent plan and rescue arrangement
Platform/ground/weather changedDescend or move to safe positionEquipment and work-method review
Power line, vehicle route or work below changesStop affected stage and separateCoordination and verified clearance/control
Worker competence or communication unavailableHold taskTrained people and reliable communication

Record who stopped the work, when people moved to safety, who was told, what document changed, who installed and verified the new control, and when the team was rebriefed. “Supervisor notified” is not a release. Restart only under the person and process authorised by the site. Review the FLHA whenever the workface moves or a new stage changes the exposure.

Crew briefing and example

PromptNames/time/evidence
Crew can identify fall locations and consequences
Access, fall system and equipment limits understood
Workers know rescue signal, route and responders
People below and adjacent workgroups coordinated
Review trigger and release authority agreed

Example: An electrical crew plans to service a light from a mobile elevating work platform in a warehouse. The approved route has clear ground and no traffic. A delivery team then parks pallets on the route and opens a forklift lane beside the new platform position. The FLHA marks the moved work HOLD. The supervisor and site lead review the platform position, ground, segregation and rescue access; the delivery team changes its route. The operator rechecks the platform setup and the crew is rebriefed. The same harness and platform did not make the new location automatically safe.

Existing owner, links and Complys boundary

The live Canadian hazard-assessment guide owns the broad *how to assess* query. The Canadian tools directory is an observed broad entry point. This proposed page owns a general heights point-of-work form for varied work settings. The separate N5-236 roofing form owns roof-specific material, hot-work and deck conditions; neither should repeat the other's task detail. Verify current repository and unpublished owners before release. The manifest's /ca/hazard-assessment-software route was not confirmed live; test the exact destination and product implementation before linking. A product-safe CTA is: Ask Complys how height-task hazard records and follow-up actions can be organised with your team. Do not imply software certifies anchors, assesses fall clearance or performs rescue.

Source, claim, owner, product and writer-side QA register — 5 October 2026

CheckPrimary/observed evidenceDecision and gate
Working-at-height scope and fall planCCOHS fall-protection overviewExact legal triggers vary; no national numerical rule asserted.
Control selection and anchor checkCCOHS control hierarchy, anchor guidanceCompetent plan determines system and anchor; no invented rating.
Site-specific rescueCCOHS rescue guideRescue must be workable before exposure.
Alberta legal exampleAlberta OHS Code Part 9Alberta-only; check actual site jurisdiction.
Canonical/product/linkCA hazard guide, CA tools, N5-236 roofing formGeneral height form distinct; unpublished owner, money route and implementation remain gates.
Copy QADirect answer, workface form, stop/release, rescue and exampleREADY writer-side; independent whole-page, legal, product and canonical QA pending.

Terminal writer-side disposition: READY. No Complys website or repository content was modified.