Title Page
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Conducted on
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Prepared by
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Location
Reviewed Department
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Which department are you reviewing?
- Frame
- Floor
- Wall
- Top
- Electrical
- Exterior
- Front Door
- Moulding
- Final Finish
- Shipping/Receiving
- Cabinet
Fall Protection
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Are fixed ladders available and in safe condition?
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Are portable ladders safe to use (no cracks, breaks,...)?
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Are fixed and portable ladder steps equally spaced?
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Are all surface openings closed (holes in floors or roofs)?
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Are mezzanine guarded by standard guard rails on all open sides?
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Are mezzanine gates closed when not in use?
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Can mezzanine gates be opened/closed from the floor?
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Are surfaces above 48 inches guarded by standard guard rails on open sides?
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Do fixed docks less than 48 inches in height have painted edges?
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Are dock openings protected when door is up?
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Are steps used to enter/exit floors (No jumping)?
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Are catwalks within 12 inches of home?
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Are catwalk floors within 6 feet of roof edge?
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Do catwalks have a standard guard rail at least 42 inches in height with a mid-rail at least 21 inches in height?
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Are team members that are required to use a fall prevention system wearing harnesses while on roofs?
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Are team members that are required to use a fall prevention system wearing retractable lanyards while on roofs?
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Are team members that are required to use a fall prevention system staying "hooked up" to overhead lifeline at all times while on roofs?
Signature
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Supervisor's Signature
