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Forms

Construction Forms|Work at Height Forms|Lifting Equipment Forms|

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There are two types of form available – Approved Forms and General Application Forms.

  • Approved Forms which are in a set format and cannot be changed.
  • GA Forms which are based on the requirements of the General Application Regulations (hence GA forms). These can be changed or layout modified by third parties as long as they still contain the minimum information as set out in the Regulations.

The forms list above can be downloaded in PDF format from HSA Forms or by clicking the link at each form.

Construction Forms

FormDetail
Approved Form (AF1) – Design Notification.Notification by Client to HSA prior to construction design commencement. This form is submitted by the Client to the HSA (AF1 Form)
Approved Form (AF2) – Notification of a Construction Site.The Project Supervisor (Construction Stage) must fill in the AF2 before construction work begins and this must be displayed clearly on the site (and updated as necessary). [Notification is required for work planned to exceed 30 working days or 500 man days or where there is specific risk as listed in Schedule 1 of the Construction Regulations]. Notifications can be done electronically using this linkAF2 Notification
Approved Form (AF3) – Earthworks Examination.This form is to be used to record the thorough examination of Excavations, Shafts, Earthworks, Underground Works, Tunnels Cofferdams or Caissons. The thorough examination needs to be undertaken at least every 7 days or after an event that may have affected the stability. The thorough examination is in addition to the requirement of a daily inspection of the works. The AF3 replaces the CR3 Form (AF3 Form).
Approved Form (AF4) – Personal Flotation Devices.This form is to be used to record the inspection and thorough examination of personal flotation devices (PFD). The inspection of the personal flotation devices must be undertaken in accordance with the manufacturer's instructions. The thorough examination needs to be undertaken at least every 12 months. The thorough examination is in addition to the requirement for inspections (AF4 Form).
Approved Form (AF5) – Exemption from Appointing a PSDP.Client seeking exemption from appointing PSDP for further 12 months (AF5 Form).

 Lifting Equipment Forms

FormDetail
GA1 – Thorough Examination of Lifting Equipment.

Report of thorough examination of lifting equipment.

This form may be used to record the thorough examination and testing of Lifting Equipment, as set out in the Safety, Health and Welfare at Work (General Application) Regulations, 2007. This form was produced by the HSA to facilitate the recording of information, as per Schedule 1 Part E of these regulations. This is not an approved or statutory form. Reports of Thorough examination may be produced in other formats (GA1 Form).

GA2 – Weekly Report of Lifting Equipment.

Report of weekly examination of lifting equipment.

This form may be used to record the weekly examination of Lifting Equipment used on construction sites, as set out in the Safety, Health and Welfare at Work (General Application) Regulations, 2007. This form was produced by the HSA to facilitate the recording of the weekly examination as per these regulations. This is not an approved or statutory form. Reports of Weekly examination may be produced in other formats (GA2 Form).

 Work at Height Forms

FormDetail
GA3 – Inspection of Work Platforms for Working at Height.

Report of results of inspections of: Work Equipment for Work at Height.

This form may be used to assist in compliance with the Safety Health and Welfare at Work (General Application) Regulations 2007 Regulation 119 – Inspection of Work Equipment in relation to scaffolds, guard-rails, toe-boards, barriers or similar means of protection, fixed and mobile working platforms, nets, airbags or other collective safeguards for arresting falls, personal fall protection systems, work positioning systems, rope access and positioning techniques, fall arrest systems, work restraint systems and ladders. This is not an approved or statutory form. Reports of Inspection may be produced in other formats (GA3 Form)