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HSA GA1 Form: Lift Assessment Form Template

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This HSA GA1 Form (Lift Assessment Form) template is a free and easily editable form you can use to evaluate the safety and operability of your lifting equipment to ensure your team stays compliant with HSA guidelines in Ireland. List down equipment details, assessment particulars, and even the certification & acknowledgement of the assessment - all in one easy to fill-out form.

Tired of manually filling out the HSA GA1 Form over and over again every time you conduct lifting operations? This lift assessment form was built entirely around the HSA GA1 form – easily create an assessment form on any device, attach photos and videos to the form, sign off on the form with e-signatures, store all the forms you create safely online, and even export the data to PDF or CSV when you’re finished.

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HSA GA1 Lifting Equipment Examination Form

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What is a HSA GA1 Form: Lift Assessment Form?

The HSA GA1 Form, officially known as the Report of Thorough Examination, is a standardized document used to record safety inspections for lifting equipment. Under Irish law, specifically the Safety, Health and Welfare at Work (General Application) Regulations, 2007 (Regulations 52 to 56), it is required that a competent person must perform thorough examinations on any lifting equipment and that they record the performance and results of their testing or examination.

The HSA GA1 form specifically covers the thorough examination of lifting equipment, lifting accessories, or other equipment. Key details that are documented in the HSA GA1 Form are general information on the owner, the competent person performing the examination, the equipment itself, testing/examination parameters, results, and certification ticks that are signed and certified by both the competent person producing the report and the party who is receiving the report.

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Why is the HSA GA1 Form Important?

The HSA GA1 form is important as a lifting assessment document because it ensures workplace safety and legal compliance to regulations in Ireland. Lifting equipment, when defective, can be a source of great risk in the workplace, especially if it is used to lift personnel. Performing tests and inspections, guided by the HSA GA1 form, ensures that defects and risks are identified and raised for appropriate action. Furthermore, keeping records of these inspections and tests are also required by law under the Safety, Health and Welfare at Work (General Application) Regulations, 2007.

The HSA GA1 form also serves as a medium of transparency and accountability, as it includes (1) a list of certifications/recommendations made by the competent person performing the examinations, and (2) a list of acknowledgements made by the party receiving the report of thorough examination. This ensures that the report was made by a qualified professional, and that their recommendations are received in writing by the party who is responsible to act on those recommendations.

What are HSA GA Forms?

The Health and Safety Authority (HSA) of Ireland issues a set of forms to standardize the safety inspection, documentation, and certification for the workplace and work equipment. More specifically, the Safety, Health and Welfare at Work (General Application) Regulations, 2007, require that work equipment—especially lifting equipment and pressure systems—must undergo thorough examinations and, if required, functional testing to ensure the safety of personnel and material that are being handled.

Currently, there are three General Application (GA) forms in use by the HSA:

GA1 - Covers thorough examination of lifting equipment and accessories
GA2 - Covers weekly inspections of lifting appliances and lifting gear
GA3 - Covers inspection of equipment that enables people to work at height (scaffolds, MEWPS, etc.)

What Information Should be in a Lift Assessment Form?

Although it is required by law to perform and document thorough examinations for lifting equipment, the HSA does not require the use of their GA1 form to create reports. However, they do list all the information that you must include if you were to create your own thorough examination or lift assessment report:

Employer/Owner details
Inspection location
Equipment identification – type, serial number, year of manufacture
Safe working load configurations – with relevant specifications
Purpose and description of the examination or test carried out
Next due date for a thorough examination – 6 month intervals if used to lift people, 12 month intervals otherwise
Defects found – immediate dangers and potential future hazards
Corrective actions recommended, with timelines
Parts not examined – if any were inaccessible
Competent person details – name, qualifications, address, signature
Recipient details – employer/owner receiving the report
Certification – confirmation that the examination was properly completed and defects reported

Frequently Asked Questions

Why should I use this form template instead of the official HSA GA1 Form ?

With Sitemate’s HSA-GA1-compliant list assessment form, you can just as easily list and record all the necessary information to complete your thorough examination report, while having the flexibility and security of having your forms created and stored digitally. Edit and fill out the form on-the-go, attach photos and videos, and even sign-off on the form, all in a few clicks.

Does this Lift Assessment Form comply with Ireland’s HSA guidelines?

Yes, this form was based entirely on the HSA GA1 form, built and modified for ease-of-use, flexibility, and security, so your team can quickly comply with the safety regulations and focus on the real work.

Can I edit the template to add company-specific tasks?

Yes, you can easily edit any portion of the template to tailor-fit your specific needs. With Dashpivot’s intuitive drag-and-drop template builder, you can add any checklist tasks, edit the procedural format, and even add your company logo to the form. .

How do I access the forms I create?

You can access your forms on any device - a phone, tablet, laptop, or desktop. This means you can bring the form out with you on site inspections, take and attach photos on-the-go, and access them later on another device for edits or sign-offs.

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