Hi Martin1,
I can't actually give you the form I use but will describe how it goes. Page 1 is general questions (of course first one says does the work have to be.... :o) and then is the roof or work area fragile, any unprotected edges, surface deterioration by weather, is fall-restraint advised, toeboards, hard hat, etc
Then there's an equipment choice question which directs you to the relevant section on other pages. The choice is ladder, platform, scaffold, mobile tower, MEWP, harnesses, etc etc
For each kit there's a set of questions and comment section.
Each section starts with 'Have employees had Work At Height training? Competent in use of the equipment? Has ground been inspected? Then about 10 questions for the particular WAH equipment and job, e.g. over head obstructions? Platform size, tower height, scaffold inspection, barriers, pedestrian risks, etc etc.
If you haven't had formal training yourself you can work out the appropriate questions for each method from the relevent HSE INDG and HSG publications (all free).
At the end ... phew... of the form there's a Further Precautions section and comments, again it's all questions, like Has severe weather forecast been..., is there adequate space to remove waste...., operators trained in use of PPE..., competent supervision...., is there suitable means of communication...., is there a rescue procedure....
It's all in a tabled 3-page word document with yes/no/na and comments, and names of responsible person to implement each control etc.
JohnW