AG-2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

EMERGENCY RESCUE PLAN CER91-IP

• WORK ORDER NUMBER

• PICOW Signature

  Sign

• PAYROLL NUMBER:

• SP351 TANTIVY - TIVOLI

  

• Street View and access

  

• Primary entrants name

• Standby persons name

• Rescuers name

• Working at heights

Activity diagram

• Add drawing

  Drawing

• All workers are aware of their role in case of an emergency rescue. PICOW signature;

  Sign

• Select date

  Date

Emergency numbers 000 112

• Rescue and equipment

• Is the rescue equipment in date?

  Yes

  No

  N/A

• Has the rescue equipment been visually inspected?

  Yes

  No

  N/A

• Is a qualified first aides present?

  Yes

  No

  N/A

• Is resuscitation equipment onsite?

  Yes

  No

  N/A

• PPE

• Has the appropriate PPE identified on the WRAP in use?

  Yes

  No

  N/A

• Is breathing apparatus required?

  Yes

  No

  N/A

• Communication method to be used?

• Voice

• Radio

• Hand signals

• Phone

• Other

• Rescue Equipment Requirements

• David arm mast

• Tripod

• Karabiners

• Winch ( black box)

• Rescue master

• SRL ( self retracting lanyards)

• PFAS

• Rope grab system

• Spreader bar

• Rated anchor points

• Fall protection

• Fall arrest using fall restraint technique

• ROLLGLISS rescue ladder

• Equipment checklist

• Fall arrest harness

• Adjustable lanyard

• Tiger tails

• Tie off sling adapter (1)

• Tie off sling adapter (2)

• Tie off sling adapter (3)

• Fall arrest lanyard short

• Fall arrest lanyard long ( 2 meters)

• Retractable safety line small ( 2 meters)

• Retractable safety line large (4 meters)

• Extra karabiner

• Storage bag SALA logo

• Missing items, report to your supervisor