Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 1 of 7 VC - 49 Version: 4 Printed documents are uncontrolled ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! ! ! ! ! ! ! ! ! ! Anchorage Point & Roof Access Summary System Type Quantity Installed Passed Inspection Failed Inspection No Safe Access Anchorage Points 25 24 1 0 Ladders & Stairs 3 0 3 0 Ladder Support Bracket 1 1 0 0 Guardrail 3 3 0 0 Document Version Control Date Change By 4.0 01/09/20 Aus Standards Reference change MF 4.0 18/02/21 Issued to Client RP Height Safety Systems Ins pection Report Sky5 Unit 8 Harcourt Business Park 809 - 821 Botany Rd, Rosebery NSW 2018 (02) 9519 5122 – www. sky5 .com.au COPYRIGHT ! This report is the property of Sky5 Pty Ltd, and is licensed to the client for use on this project only. Reproductions of this document shall only be undertaken in full with the written permission of Sky5 Pty Ltd. Swan View Shopping Centre 42 Albany Hwy, Albany WA 6330 Site Reference Number: WA027 Inspection Date: 17/11/20 Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 2 of 7 VC - 49 Version: 4 Printed documents are uncontrolled Anchorage Po int & Roof Access Systems - Inspection Certificate On this day, at this time , Sky 5 Inspected the installed Height Safety Fall Prevention and Roof Access Systems in accordance with the following Australian Standard s (where applicable) : AS/NZS 1891:4 2009 Industrial Fall Arrest S ystems & Devices – selection, use and maintenance AS /NZS 1 657:201 8 Fixed Platform, Walkway, Stairways and Ladders – design, construction and installation This certificate is valid for 12 months, however does not cover any damage caused by accidents or misuse by other parties. An annual inspection is required of t hese systems for re - certification to comply with Australian Standards and Manufacturers requirements. All certification tags and system information signboards indicate the date of inspection and due date for re - certification. All anchors must be re - ins pected and certified after any fall or incident involving the anchors. Signed: Rod Gibbs Regional Manager Certificate Number: WA027 Site Location : Swan View Shopping Centre 42 Albany Hwy, Albany WA 6330 Date of Certification: 17/11/20 Date for Re - Certification: 17/11/21 Anchorage Poin t & Roof Access Summary System Type Quantity Installed Passed Inspection Failed Inspection No Safe Access Anchorage Points 25 24 1 0 Ladders & Stairs 3 0 3 0 Ladder Support Bracket 1 1 0 0 Guardrail 3 3 0 0 Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 3 of 7 VC - 49 Version: 4 Printed documents are uncontrolled ! ! ! Preamble: ! This!report!is!the ! property!of! Sky5 ! Pty!Ltd,!and!is!licensed!to!the!client!for!use!on!this!project!only.!!!Reproductions!of!this! document!shall!only!be!undertaken!in!full!with!the!written!permission!of! Sky5 ! Pty!Ltd. ! ! This!report!is!designed!to!provide!current!information!on ! the!status!of!systems!and!or!protective!equipment;!potential!risk! involved!with!using!the!systems!and/or!protective!equipment!and!recommendations!to!mitigate!the!identified!risk!for!the! purpose!of!working!at!heights!and!includes!the!following: ! ! 1. ! Cover!P age!outlining!property!concerned!and!type!of!report; ! 2. ! Fall!Prevention!&!Roof!Access!Systems! – ! Inspection!Certificate ! 3. ! Preamble!details!of!report!including!Risk!Management!information ! 4 ! Detailed ! r eport!containing,!findings,!the!risk!associated!with!tho se!findings!(if!required)!and!recommendations!to! mitigate!the!identified!risk!in!accordance!with!relevant!Australian!Standards!and!Industry!Codes; ! 5 ! Inspection!Results; ! ! Risk!assessment!involves!estimating!the!level!of!risk! – ! estimating!the!probability!( L ikelihood)!of!an!event!occurring!and!the! magnitude!of!effects!(Consequence)!if!the!event!does!occur.!Essentially!risk!assessment!lies!at!the!heart!of!risk!management, ! because!it!assists!in!providing!the!information!required ! to!respond!to!a!potential!risk!i e;!falls!from!height,!falls!from!ladders ! ! LIKELIHOOD((L ) ( CONSEQUENCE((C)( 0 (( IMPACT ( RISK(RANKI NG ( (R) ( ( ( 1 ( 2 ( 3 ( 4 ( 5 ( A ( Almost( Certain ( Expected(to(be(the( outcome(in(most(cases( 2 ( 91( 0 ( 100%(probable ( 1 ( Insignificant ( First(aid(injury/s((FAI),(minor(environmenta l(impact.(Minor/(medium(term( social(impacts(on(local(population,(or(expected(financial(impact ( ( =( <($10k. ( A ( M ( (8) ( M ( (13) ( H ( (18) ( E ( (23) ( E ( (25) ( B ( Likely ( Will(probably(occur(in(most( circumstances( 2 ( 51( 0 ( 90%(probable ( 2 ( Minor ( Medical(Treatment(Inju ry((MTI),(minor(short(term(environmental(impact.( Attention(from(media(&(heightened(concern(by(local(community(or( expected(financial(impact ( =( $10k( 0 ( $100k. ( B ( M ( (7) ( M ( (12) ( H ( (17) ( H ( (21) ( E ( (24) ( C ( Possible ( Might(occur(so metime ( 31( 0 ( 50%(probable ( 3 ( Moderate ( Lost(Time(Injury((LTI).(Serious(irreversible(injury/disease,(serious( medium(term(environmental(harm.(Adverse(local(media(coverage,(or( expected(financial(impact ( ( =( $100k( 0 ( $1(mill. ( C ( L ( (4) ( M ( (11) ( H ( (16) ( H ( (20) ( H ( (22) ( D ( U nlikely ( Could(occur,(but(would(not( be(expected( 2 ( 10( 0 ( 30%(probable ( 4 ( Major ( Si ng le(fatality,(permanent(localised(environmental(harm.(Substantial(risk( to(corporate(reputation,(sustained(adverse(local(media(coverage,(major( repairs(or(project(outcomes(affected ,(or(expected(financial(impact ( ( =( $1( 0 ( 10(mill. ( D ( L ( (3) ( M ( (6) ( M ( (10) ( H ( (15) ( H ( (19) ( E ( Rare ( Rare(that(this(would(occur( 2 ( no(previous(occurrence(in( similar(circumstances( 2 ( <(10%(probable ( 5 ( Catastrophic ( Multiple(fatalities,(permanent(lo ng ( term(and(extensive(e nvironmental( harm.(Extreme(risk(to(corporate(reputation,(public(outrage(&(national( media(coverage,(high(profile(litigation,(class(action,(threat(to(business( division(viability(or(expected(financial(outcome( ( =( $10( 0 ( $100(mill. ( E ( L ( (1) ( L ( (2) ( L ( (5) ( M ( (9) ( H ( (1 4) ( (((((((((((((((((((((((((((((((((((((((((((((((((( ( ( ! Risk(Ranking(Summary ! EXTREME ( These(risks(are(Unacceptable. ( The(work(activity(should(be(halted(until(Critical(Controls(are(implemented(which(reduce(the(risk(to(High(at(least. ( If(it(is(not(possible(to(reduce(the(risk,(the(work(should(remain(prohibited. ( Detailed(research,(planning(&(Critical(Control(review(with(actions(by(Supervisory(staff,(Workplace(Manager,(HSE(Manager(&(Gro up(Manager(HSE. ( HIGH ( These(risks(must(be(reduced(where(possible(by(implementing(higher(levels(of(Critical(Control(using(the(Hiera rchy(of(Controls.( ( Detailed(review(of(Critical(Controls(by(Supervisory(staff(and(Workplace(Manager(including(consultation(with(work(crew(and(tra ining(in(revised(system(of( work. ( MEDIUM ( Identified(Critical(Controls(must(be(capable(of(reducing(the(risk(by(el iminating(or(minimising(to(an(acceptable(level.( ( Critical(Activities(&(Monitoring(are(to(be(identified(and(implemented(by(Supervisory(staff. ( LOW ( The(work(is(relatively(safe(and(can(be(managed(by(routine(Standard(System(Control(Measures,(procedures,(guidel ines(&(JSEA/SWMS.( ( No(further(action(is(required,(unless(additional(hazards(arise(during(the(work. ( HIERARCHY(OF( CONTROLS ! Elimin ate(the(hazard ( Can(the(need(to(work(at(height(be(avoided(to(eliminate(the(risk(of(a(fall ! I s olate(the(hazard ( Can(physical(barri ers(be(provided(to(protect(fall(edges ( Fall(Restraint(Systems ( Can(fall(restraint(systems(be(provided(that(restrict(the(movement(so(a(worker(cannot(fall ( Fall(Arrest(Systems ( Can(fall(arrest(systems(be(provided(to(arrest(a(worker(if(they(fall ( Administrat ive(Controls ( Procedures(and(processes(that(inform(the(worker(of( identified(hazards ( Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 4 of 7 VC - 49 Version: 4 Printed documents are uncontrolled ! ! Purlin!Mounted!Anchorage!Points ! Manufacturer ! Roofsafe ! Installer ! Roofsafe ! Installation!date ! August!2006 ! Installer!contact!details ! (02)!8781!2100 ! Product!c ode ! ESL22 ! Roof!sheet!fixing!method ! Screw X Fix ! Anchor!rating ! 15kN ! Anchor!point!purpose ! Fall!Arrest ! Number!of!anchors ! 24 ! Anchor!point!reference!numbers ! FA! – ! 01 X 16,!18 X 25 ! ! ! Notes:! ! Anchor!points!inspected!have! passed!a!visual!inspection ! in!accordance!with!AS/NZS!1891.4!and!manufacturers!requirements. ! Re commendations:! ! Anchor!points!to!be!inspected!at!12!monthly!intervals!in ! accordance!with!AS/NZS!1891.4! – ! Certification!due! 17/11/21 ! System!Passed ! Purlin ! Mounted!Anchorage!Points ! Manufacturer ! Roofsafe ! Installer ! Roofsafe ! Installation!date ! August!2006 ! Installer!contact!details ! (02)!8781!2100 ! Product!c ode ! ESL22 ! Roof!sheet!fixing!method ! Screw X Fix ! Anchor!rating ! 15kN ! Anchor!point!purpose ! Fall!Arrest ! Number!of!anchors ! 1 ! Anchor!point!reference!numbers ! FA! – ! 17! ! ! ! Notes:! ! Anchor!point ! inspected!ha s! failed ! a!visual!inspection ! due!to ! an ! A/C!unit! installed!over!the!system. ! Recommendations:! ! Remove!and!replace!anchor!point ! with! a! compliant!system ! in!adjacent!location!away!from!A/C!unit!obstruction .! ! System!Failed ! Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 5 of 7 VC - 49 Version: 4 Printed documents are uncontrolled ! Access!Ladders ! Manufacturer ! Roofsafe ! Installer ! Roofsafe ! Inst allation!date ! August!2006 ! Installer!contact!details ! (02)!8781!2100 ! L adder!height ! 2.2m ! Ladder!style ! Angled!rung!ladder ! Number!of!anchors ! 1 ! Anchor!point!reference!numbers ! LD! – ! 01! ! !! !! !! ! Notes:! ! Fall!and!trip!hazards!exist!due!to!the!following: ! X ! Handrail!design!does!not!comply!with!current!Australian!Standard s.!Handrails!mounted!on!stile!extensions!and!projecting! t owards!th e!user!tends!to!move!a!user ’ s!centre!of!gravity!further!away!from!the!rungs!by!gripping!the!handrails. ! X ! 200mm!foot!clearance!is!not! provided ! between!t he!back!edge!of!rungs!and!wall ! (160mm!actual) ! X ! 50 8 mm!step!down! at!top!landing! of!ladder ! ! X ! Users!may!sustain!sprain!or!ankle!injuries!due!to!uneven!rung!spacing!at!the!ladder ’ s!base. ! Recommendations:! ! Remove!and!replace! ladder ! with!a!compliant!system.! ! Non @ Compliant ! Access!Ladder s ! Manufacturer ! Roofsafe ! Installer ! Roofsafe ! Inst allation!date ! August!2006 ! Installer!contact!details ! (02)!8781!2100 ! L adder!height ! 0.9m ! Ladder!style ! Angled!rung!ladder ! Number!of!anchors ! 1 ! Anchor!point!reference!numbers ! LD! – ! 0 2 ! ! ! Notes :! ! Fall!from!heights!risk!as!ladder! i s ! missing!a! stile ! at!top! of!ladder .! ! Recommendations:! ! Remove!and!replace!ladder!with!a!compliant!system.! ! Non @ Compliant ! Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 6 of 7 VC - 49 Version: 4 Printed documents are uncontrolled ! ! ! ! ! ! ! ! ! Access!Ladder s ! Manufacturer ! Roofsafe ! Installer ! Roofsafe ! Inst allation!date ! August!2006 ! Installer!contact!details ! (02)!8781!2100 ! L adder!height ! 2.7m ! Ladder!style ! Vertical!rung!ladder!with!cage ! Number!of!anchors ! 1 ! Anchor!point!reference!numbers ! LD! – ! 03 ! !! !! !! ! Notes:! ! Trip!hazard!exists!due!to!the!following: ! X ! 200mm!foot! clearance ! is!not!provided!between!the!back!edge!of!rungs!and!wall ! (170mm!actual) ! X ! Bottom!of!the!cage!terminates! below!the!minimum!allowable!2000mm! from!the!base!of!ladder! ( 1900mm!a ctual) ! ! X ! Cage!openings!exceed!maximum!allowable!150mm! (1 58 mm ! actual ) ! Recommendations:! ! Remove!and!replace!ladder!with!a!compliant!system.! ! Non @ Compliant ! Testing & Inspection Report Effective date: September 2020 Review date: March 202 1 Page 7 of 7 VC - 49 Version: 4 Printed documents are uncontrolled Anchorage Point Inspection Results Certificate Number: WA027 Edition Number: 1 Location/Site Address: Swan View Shopping Centre ( ( ( ( ( 42(Albany(Hwy,(Albany(WA(6330 ( Date of Certification: 17/ 11/20 Reason for Inspection: Annual Inspection Date for Re - certification: 17/11/21 Assessed By (Signatory): Rod Gibbs Inspector: J. Sandeman & E. Nutter Anchor!Type!Codes: ! e.g.!“M16 X C X E”!=!M16!Chemically!set!anchor!with!permanent!eye. ! Size!Options: ! M10 ! |! M12 ! |! M16 ! |!M20!|! 360!(Surface!Mount!Only) ! Setting!Options: ! C! X ! Chemical ly!S et! | ! P ! X ! Purlin! Moun ted!| ! SA! – ! Surface!Mounted!|! TH! X ! Thru X Bolted!|! CI ! X ! Cast!in!Anchor!|! FR ! X ! Friction!Anchor ! Type!Options: ! E ! X ! Permanent!Eye ! |! IN ! X ! Insert!Sleave ! |! H ! X ! Permanent!Hanger ! |! F ! X ! Froglink ! Anchor!Use!Codes: ! FA ! X ! Fall!Arrest ! |! RA ! X ! R ope!Access ! |! RD ! X ! Rope!Diversio n!|! AP ! X ! Aiding!Point ! |! MP! X ! Multi!Purpose!(Fall!Arrest!&!Rope!Access) ! Condition!Rating: ! E ! – ! Excellent/New ! |! G ! – ! Good ! /In!good!order ! |! F ! – ! Failed ! |! Remove!from!service ! Test!Loads: ! Apply!load!for!3min!at!8.5kn!for!Fall!Arrest!and!8.5kn!for!Rope!Access!(chem ical!and!friction!set!only) ! Lifelines:!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! HLL ! X ! Horizontal!Lifeline!|! VLL ! – ! Vertical!Lifeline ! ! If!you!have!any!queries!with!regards!to!th is!report,!or!inspection!results ,!please!feel!free!to!contact!me. ! ! Kind!Regards, ! ! ! ! Rod! Gibbs ! Regional ! Manager ! ! ! System No. & Use System Type Test Load Movement Yes/No condition Rating Base Material Rating Comments Anchorage Points WA027 - FA - 01 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 02 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 03 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 04 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 05 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 06 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 07 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 08 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 09 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 10 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 11 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 12 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 13 M12 - P - E N / A No G G Passed Visual Inspection WA027 - FA - 14 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 15 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 16 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 17 M12 - P - E N /A N /A N /A N /A Failed Visual I nspection WA027 - FA - 18 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 19 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 20 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 21 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 22 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 23 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 24 M12 - P - E N /A No G G Passed Visual Inspection WA027 - FA - 25 M12 - P - E N /A No G G Passed Visual Inspection Skylight Glass CERT #: DRAWN BY: CLIENT: SITE: NOTES: CERT DATE: INSPECTED BY: WA027 17/11/20 J Sandeman & E Nutter R Perez Charter Hall Retail Swan View Shopping Centre 42 Albany Hwy , Albany WA 6330 Drawing is not to scale and shows objects in approximate location only LEGEND: Site Asset Register: 25 x Fall Arrest Anchorage Points 03 x Access Ladders 01 x Ladder Support Bracket 03 x Guardrail Walkway Fall Arrest Anchorage Point Anchor Point with Strop F A IMAGE DATE: Image taken on 10/10/20 RED ZONE No Go Zone - No safe access or fall protection to within 2m of roof edge or non trafficable fragile surface AMBER ZONE High Risk Zone - Fall Prevention system installed to safely access within 2m of roof edge or fragile surface GREEN ZONE Low Risk Zone - General access within roof area where no fall risk greater than 1 .2m is present Anchor Point - Failed/No Safe Access Access Ladder Aluminium Walkway Guardrail Ladder Support Bracket Unit 3 , 266 Stirling St Perth WA 6000 +61 8 9227 7688 sky5 .com .au F A EP Entry Point Roof Access Hatch Metal Walkway F A F A F A F A F A F A F A F A F A F A F A F A F A F A F A F A 01 02 03 04 10 09 07 05 08 06 11 12 13 24 23 25 LD-01 EP LB-01 GR-01 EWP Access Only EWP Access Only LD-03 (Internal) GR-02 GR-03 LD-02 14 15 16 17 18 20 21 22 19 F A F A F A F A F A F A F A F A EP