Fall Protection Checklist
Download link given in the bottom
Project: |
Project Location: |
Fall Protection Locations: |
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Supervisor: |
Date: |
Time: |
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þ |
Step |
Action |
Description |
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q |
1. |
Choose appropriate fall protection system |
Consider the work to be performed, the training needed for each
system, the project conditions and the availability. |
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q Powered
Elevating Work Platform |
Perform system checks, ensure level ground, operate according to
manufacturers’ recommendations, tie off to PEWP or to adequate anchor point
above at all times. |
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q Horizontal
Lifeline |
Install and use according to engineer’s design drawings, use
min. ½” steel wire, <30 ft. between vertical posts, <15” sag in a 30
ft. span, 3 clips tying wire at beam end, engineer’s design drawings
available, workers using double lanyard, and workers tied off at all times. |
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q Vertical
Lifeline |
Column adequately secured with ½” steel wire or 5/8” polypropylene rope, vertical lifeline attached, vertical
lifeline with rope grab extends from top of column to base, 1 worker using
lifeline at a time. |
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q Self-Retracting
Lifeline (SRL) |
Anchor to approved roof anchor, 1 worker using SRL at a time,
must be moved periodically, lifeline locks up in quick movement,
automatically retracts when tension removed, minimizing fall distance. |
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q Guardrail,
Scaffolding, etc. |
Removes fall potential by providing a physical barrier, must
meet minimum horizontal and vertical forces, must have top rail, midrail and
toe board, scaffolding must be built accordingly. |
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q |
2. |
Frequent inspections of fall protection components |
All components of fall protection systems are to be inspected
prior to each use by each worker. If deficiency is found, remove equipment
from service. |
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q Harness |
Burns, cuts, loose stitching, frayed webbing, D-rings, grommets
and buckles not worn or damaged, CSA stamp. |
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q Lifelines |
Burns, cuts, frayed material, no discoloration or other damage. |
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q Lanyards |
Burns, cuts, loose stitching, frayed webbing, CSA stamp, shock
absorber in good condition, locking snap hook. |
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q Anchor
Points |
Able to support 3600 lbs., verified by a competent worker. |
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q PEWP |
Maintenance log, manufacturer’s recommended inspections. |
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q Rope Grab |
Damage, cracking, dents, bends, connecting rings centered, rust,
moving parts working smoothly, other wear. |
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q |
3. |
Rescue procedure chosen |
Refer to Construction Regulations, Sec. 26 for employer’s Fall
Rescue requirements. |
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q |
4. |
Engineer’s design drawings and manufacturer's specifications available |
Engineer’s design drawings for: q Horizontal
lifeline q Scaffold system q Anchor systems Manufacturer's specifications for: q Anchor
systems q PEWP q SRLs q Harnesses q Rope grab |
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