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Registration Number: {{org_field_registration_no}}


Working Safely at Height Policy

1. Purpose

The purpose of this policy is to ensure that all work at height undertaken at or on behalf of {{org_field_name}} is properly planned, appropriately supervised and carried out, so far as is reasonably practicable, without risk to staff, individuals using the service, visitors, contractors or other persons.

{{org_field_name}} will avoid work at height wherever reasonably practicable. Where work at height cannot be avoided, the organisation will prevent falls by selecting suitable work equipment and collective protective measures. Where the risk of a fall cannot be completely prevented, the organisation will minimise the distance and consequences of a fall through suitable work equipment, safe systems of work and, where appropriate, personal fall-protection equipment.

This policy supports compliance with:

This policy must be implemented in a way that protects the safety, dignity, rights, routines and well-being of individuals using the service.

2. Scope

This policy applies to the service provider, responsible individual, registered manager, employees, agency workers, volunteers, maintenance personnel, contractors and any other person who plans, authorises, supervises or undertakes work at height at premises operated or controlled by {{org_field_name}}.

It applies to work at height undertaken inside or outside the care home, including work in bedrooms, communal areas, kitchens, laundries, plant rooms, gardens, roofs, loft spaces, stairwells and external grounds. It also applies to access to and egress from a place of work at height, except by a permanent staircase in a permanent workplace.

It covers:

This policy does not authorise care staff to undertake specialist maintenance, construction, roof work, scaffold work, tree work, rope access, work on fragile surfaces or work requiring a mobile elevating work platform. Such work must be referred to an appropriately competent and insured contractor unless the organisation has specifically appointed suitably trained, competent and authorised employees to perform it.

Individuals using the service must not be asked or permitted to undertake work at height on behalf of the care home. Personal choices by an individual that could expose them to a risk of falling must be addressed through person-centred risk assessment, care planning and proportionate support rather than through this staff work-at-height procedure.

Ordinary use of a permanent staircase is not work at height under the Work at Height Regulations. Slips, trips and falls on level surfaces must be managed under the organisation’s general health and safety and falls-prevention arrangements.

3. Definition of Work at Height

Work at height means work in any place where, if suitable precautions were not taken, a person could fall a distance liable to cause personal injury. It includes:

A task is not excluded merely because the potential fall distance appears small. The relevant consideration is whether a fall could cause personal injury.

Work in a confined space is not automatically work at height. Where a confined-space task also presents a fall risk, both the Confined Spaces Regulations 1997 and the Work at Height Regulations 2005 must be considered.

4. Roles and Responsibilities

4.1 Service Provider

The Service Provider has overall responsibility for ensuring that:

4.2 Responsible Individual

The Responsible Individual must obtain assurance that:

4.3 Registered Manager

The Registered Manager is responsible for:

4.4 Employees, Agency Workers and Volunteers

Persons undertaking authorised work at height must:

4.5 Contractors

Contractors remain responsible for the safety of their work and employees. {{org_field_name}} will nevertheless take reasonable steps to confirm contractor competence, exchange relevant risk information, coordinate the work and protect individuals using the service, staff and visitors.

5. Risk Assessment and Hazard Identification

5.1 Assessment and Planning

All work at height must be properly planned before it begins. Planning must be proportionate to the complexity and level of risk but must be sufficient to identify the safest practicable method of completing the task.

A suitable and sufficient risk assessment must consider:

Dynamic assessment at the point of work does not replace a formal risk assessment where one is required. Work must stop where conditions differ materially from those assessed.

5.2 Hierarchy of Control

The following hierarchy must be applied in order:

  1. Avoid work at height wherever reasonably practicable, for example by using extendable cleaning tools, lowering equipment for maintenance, relocating stored items or arranging maintenance from ground level.
  2. Prevent falls by using an existing safe place of work, such as a permanent platform with suitable guardrails and safe access.
  3. Prevent falls using suitable collective work equipment, such as properly installed guardrails, scaffolding, tower scaffolds or mobile elevating work platforms.
  4. Prevent falls using personal work equipment, such as a correctly designed work-restraint system, where collective protection is not reasonably practicable.
  5. Minimise the distance and consequences of a fall using collective protection, such as safety nets or soft-landing systems selected and installed by competent persons.
  6. Minimise the distance and consequences of a fall using personal fall-arrest equipment, only where more protective measures are not reasonably practicable and where a suitable rescue plan is in place.

Preference must always be given to collective protection that protects everyone over personal protection that depends upon the individual user.

Ladders and stepladders may only be selected where the risk assessment shows that more suitable work equipment is not justified because the task is low risk and of short duration, or because existing features of the site cannot be altered.

5.3 Protecting Individuals Using the Service

Work at height must be organised to minimise disruption and avoid exposing individuals to risk. Before work begins:

6. Equipment and Safe Use

6.1 Ladders and Stepladders

Ladders and stepladders must only be used for low-risk, short-duration work where the risk assessment demonstrates that more suitable equipment is not reasonably justified.

The following requirements apply:

As a practical guide, where a person is expected to remain in one position on a leaning ladder or stepladder for more than approximately 30 minutes, more suitable work equipment should normally be selected unless the risk assessment provides a clear justification.

6.2 Prohibited Equipment and Practices

Chairs, armchairs, stools not designed as access equipment, tables, beds, wheelchairs, commodes, crates, boxes, shelving and other furniture must never be used as makeshift access equipment.

Staff must not climb onto kitchen worktops, window ledges, radiators, sanitary fittings or care equipment to reach an elevated area.

Damaged equipment, equipment without an identifiable owner or equipment brought from home must not be used.

6.3 Scaffolds, Towers and Mobile Elevating Work Platforms

Scaffolding, mobile access towers and mobile elevating work platforms must only be assembled, altered, dismantled or operated by persons with the knowledge, training and competence required for the specific equipment and task.

Before use, the organisation must ensure that:

Mobile access towers must not be moved while occupied. Persons must not climb the outside of a tower or use boxes, ladders or other equipment on its platform to gain additional height.

Equipment used to lift persons must also be examined and maintained in accordance with the Lifting Operations and Lifting Equipment Regulations 1998 where those Regulations apply.

6.4 Personal Protective Equipment and Personal Fall Protection

Personal protective equipment must be selected from the findings of the risk assessment. Helmets, protective footwear, eye protection or other PPE must be used where the assessment identifies a need; they are not automatically required for every work-at-height task.

Personal fall-protection equipment, including harnesses, lanyards, work-restraint systems and fall-arrest systems, must only be used where:

Fall-arrest equipment must not be used without arrangements for prompt rescue. Suspension following a fall can create a serious medical risk, and reliance on the emergency services alone is not an adequate rescue plan.

7. Equipment Inspection, Maintenance and Storage

All work-at-height equipment must be:

A work-at-height equipment register must record:

Pre-use checks must be completed by the user. Formal inspections must be undertaken by a competent person at a frequency appropriate to the equipment, use and environment. The organisation must not rely on a universal monthly frequency where a different interval is required by legislation, manufacturer’s instructions or risk assessment.

Equipment found to be damaged, defective or unsafe must:

Ladders and access equipment must be stored in a secure location inaccessible to individuals using the service and unauthorised staff.

8. Staff Training and Competency

8.1 Information, Instruction and Training

No person may plan, supervise or undertake work at height unless they have the skills, knowledge, training and experience necessary for the task or, where they are being trained, they are supervised by a competent person.

Training must be proportionate to the person’s role and the equipment they are authorised to use. It may include:

Specialist work involving scaffolds, access towers, mobile elevating work platforms, fragile roofs, personal fall-arrest equipment or rope access must only be undertaken by persons with appropriate task-specific training and demonstrable competence.

Completion of a training course alone does not establish competence. Competence must include the ability to apply knowledge safely in the actual workplace.

8.2 Competence Assessment and Refresher Training

The Registered Manager or nominated competent assessor must verify competence before authorising a member of staff to use work-at-height equipment. Assessment should include practical observation where relevant.

Authorisation and competence records must identify:

Refresher training and reassessment must be provided when indicated by risk, including:

An automatic annual refresher requirement is not necessary for every low-risk task unless the organisation’s training-needs analysis identifies that frequency. Annual competence review may nevertheless be retained as an organisational assurance measure.

9. Safe Systems of Work

9.1 Authorisation and Permit-to-Work

Routine, low-risk tasks using an approved stepladder may be undertaken under a documented generic risk assessment and safe system of work, provided the task, environment and equipment remain within the limits of that assessment.

A task-specific risk assessment, method statement and written authorisation or permit-to-work must be used for higher-risk or non-routine work, including:

The permit must identify the work, location, persons authorised, controls, duration, isolation arrangements, emergency arrangements and the person responsible for closing the permit.

9.2 Supervision

The level of supervision must reflect the risk, complexity of the task and competence of those carrying it out. New, inexperienced or recently trained staff must receive direct supervision until competence has been demonstrated.

The supervisor must confirm that:

9.3 Environmental Conditions

Outdoor work at height must not proceed where wind, rain, ice, snow, lightning, heat, poor visibility or other conditions make the task unsafe.

The decision must be based on the equipment manufacturer’s limitations, task risk assessment and actual conditions at the work location. Work must stop where conditions deteriorate.

Indoor work must have adequate lighting, sufficient space and a stable, unobstructed surface. Wet floors, trailing cables, moving equipment, opening doors and the movement of individuals through the area must be controlled.

9.4 Fragile Surfaces and Roof Work

Staff must not access roofs, canopies, skylights or other surfaces that are or may be fragile unless the work has been planned by a competent person and suitable precautions have been provided.

Fragile surfaces must be identified, clearly marked where appropriate, and protected to prevent access. Where work on or near a fragile surface cannot be avoided, suitable platforms, coverings, guardrails, fall-prevention or fall-mitigation measures must be provided.

Routine care-home staff must not undertake roof work unless specifically trained, competent and authorised. Roof work should normally be undertaken by a competent contractor.

9.5 Falling Objects and Danger Areas

Materials and objects must be prevented from falling by suitable storage, securing, toe boards, tool lanyards, covered containers or other appropriate means.

Nothing may be thrown or tipped from height.

Where falling objects remain possible, the area below must be designated as a danger area, physically controlled and clearly indicated. Individuals using the service, visitors and unauthorised staff must be prevented from entering.

Materials must not be stored at height in a way that creates a risk of falling or makes unsafe access foreseeable. Frequently used or heavy items should be stored between approximately knee and shoulder height wherever practicable.

10. Contractor Management

Before appointing a contractor to undertake work at height, {{org_field_name}} must take reasonable steps to assess:

Before work begins, the Registered Manager or nominated person must:

Contractor documentation does not remove the care home’s responsibility to coordinate activities and protect persons who may be affected.

11. Incident Response and Emergency Procedures

11.1 Emergency and Rescue Planning

Work at height must be planned to include proportionate arrangements for emergencies and rescue.

Where a person could become suspended in a harness, trapped on access equipment or otherwise unable to return safely, a task-specific rescue plan must be prepared before work starts. The plan must identify:

Rescue arrangements must not rely solely on the fire and rescue service, ambulance service or another emergency service.

Staff must not attempt an improvised rescue that exposes them to uncontrolled work-at-height risks. The immediate area must be made safe, first aid provided when it is safe to do so, and emergency services contacted as required.

For routine low-risk ladder tasks, emergency planning may consist of ensuring that communication is available, staff know how to summon assistance, the area is accessible, and first-aid arrangements are available.

11.2 Incident and Near-Miss Reporting

All falls from height, dropped-object incidents, equipment failures, unsafe conditions and near misses must be reported immediately to the Registered Manager or person in charge.

Following an incident:

11.3 Statutory Reporting

The Registered Manager must ensure that every work-at-height incident is assessed promptly to determine whether it is reportable to the Health and Safety Executive under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013.

Reportable events may include:

The decision, rationale, submission reference and any communication with HSE must be recorded.

Any requirement to notify CIW, a placing authority, commissioner, safeguarding authority, insurer or other body must be considered separately under the organisation’s notification and incident-management procedures.

12. Compliance and Monitoring

12.1 Monitoring and Audit

The Registered Manager must establish a proportionate monitoring programme that includes:

A documented local health and safety check should be completed at least monthly. This monthly management check does not replace statutory, manufacturer-specified or risk-based inspections of individual items of equipment.

Significant findings must be reported through the organisation’s governance arrangements and escalated to the Service Provider and Responsible Individual where appropriate.

12.2 Governance and Continuous Improvement

Information from incidents, near misses, audits, equipment defects, staff feedback, contractor monitoring, HSE advice and CIW inspection findings must be analysed for patterns and recurring risks.

The Responsible Individual must receive sufficient information to obtain assurance that:

Relevant findings and trends must be considered within the organisation’s quality-of-care review and service-improvement arrangements.

13. Related Policies and Documents

This policy should be read alongside:

14. Records

The following records must be maintained where applicable:

Records must be legible, accurate, complete, secure, retrievable and retained in accordance with the organisation’s record-retention schedule and applicable legal requirements.

15. Policy Review

This policy will be formally reviewed at least annually and sooner where:

The Responsible Individual must have suitable arrangements to obtain assurance that this policy remains up to date and is understood and implemented by relevant staff.

Material changes must be communicated to affected employees, agency staff, volunteers and contractors. Additional instruction, training or competence assessment must be provided where required. Superseded copies must be removed from use while being retained in accordance with document-control arrangements.


Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on:
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Next Review Date:
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Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.

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