Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • X=Non applicable
    0=Non compliance
    1=Insufficient
    2=Acceptable
    3Excellent

  • Guardrail is sound (will withstand 200 lbs. in any direction at top-rail).

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  • Too-rail will deflect downward to no less than 39" high.

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  • No materials stacked higher than toe-boards.

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  • Cable top-rails flagged (bright material-spacing 6' or less).

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  • Cable too-rails are properly secured by cable clamps/clips.

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  • Workers demonstrate understanding of the 100% tie-off procedure.

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  • Workers are using fall arrest system correctly.

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  • Fall arrest equipment is in good condition.

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