Fall Protection Checklist

Project Supervisor Step Action

Choose appropriate fall protection system Powered Elevating Work Platform

Project Location Date

Fall Protection Locations Time Description

#ori$ontal %ifeline

1.
-ertical %ifeline

1elf 2etracting %ifeline 312%4 6 ardrail, 1caffolding, etc. Fre" ent inspections of fall protection components #arness

Consider the work to be performed, the training needed for each system, the project conditions and the availability. Perform system checks, ens re level gro nd, operate according to man fact rers! recommendations, tie off to PEWP or to ade" ate anchor point above at all times. &nstall and se according to engineer!s design drawings, se min. '( steel wire, )*+ ft. between vertical posts, )1,( sag in a *+ ft. span, * clips tying wire at beam end, engineer!s design drawings available, workers sing do ble lanyard, and workers tied off at all times. Col mn ade" ately sec red with '( steel wire or ,./( polypropylene rope, vertical lifeline attached, vertical lifeline with rope grab e0tends from top of col mn to base, 1 worker sing lifeline at a time. 5nchor to approved roof anchor, 1 worker sing 12% at a time, m st be moved periodically, lifeline locks p in " ick movement, a tomatically retracts when tension removed, minimi$ing fall distance. 2emoves fall potential by providing a physical barrier, m st meet minim m hori$ontal and vertical forces, m st have toprail, midrail and toe board, scaffolding m st be b ilt accordingly. 5ll components of fall protection systems are to be inspected prior to each se by each worker. &f deficiency is fo nd, remove e" ipment from service. 8 rns, c ts, loose stitching, frayed webbing, 9:rings, grommets and b ckles not worn or damaged, C15 stamp. 8 rns, c ts, frayed material, no discolo ration or other damage. 8 rns, c ts, loose stitching, frayed webbing, C15 stamp, shock absorber in good condition, locking snap hook. 5ble to s pport *;++ lbs., verified by a competent worker. <aintenance log, man fact rer!s recommended inspections. 9amage, cracking, dents, bends, connecting rings centred, r st, moving parts working smoothly, other wear. 2efer to Constr ction 2eg lations, 1ec. 7; for employer!s Fall 2esc e re" irements. Engineer!s design drawings for? #ori$ontal lifeline 1caffold system 5nchor systems <an fact rer>s specifications for? 5nchor systems PEWP 12%s #arnesses 2ope grab

7.

%ifelines %anyards 5nchor Points PEWP 2ope 6rab

*. =.

2esc e proced re chosen Engineer!s design drawings and man fact rer>s specifications available