13.1.1 Fall Protection Checklist

Are workers provided fall protection when exposed to falls of four (4) feet or more? AFI 91-203 para. 13.2.2

Are active and passive means of fall protection considered before using procedural controls? AFI 91-203 para.

Has a JSA been performed and coordinated with the installation safety office prior to the use of procedural controls for protecting workers from falls? AFI 91-203 para.

Are all PFAS components marked to indicate compliance with ANSI Z359.1.? AFI 91-203 para.

Are wire rope, rope covered wire lanyards, plastics (such as nylon) and wet lanyards prohibited where an electrical hazard may be present? AFI 91-203 para.

Can anchorage connectors withstand a 5000 pound load for each PFAS connected? AFI 91-203 para.

Do workers inspect their PFAS prior to each use for mildew, wear, damage and other deterioration? AFI 91-203 para.

Does the supervisor ensure all PFAS components receive a thorough inspection at least quarterly and keep the record of inspection for at least one year? AFI 91-203 para.

Are PFAS components subjected to impact loading immediately removed from service and not be used again until inspected and determined by a competent person to be undamaged and suitable for reuse? AFI 91-203 para.

Are workers/competent persons trained and evaluated on the fall protection/fall arrest system prior to use? AFI 91-203 para. 13.6

Is recurring fall protection training conducted annually, when work conditions change or when new fall protection/fall arrest systems are procured? AFI 91-203 para. 13.6

Is a rescue plan included in each fall protection plan to assure prompt rescue of fallen workers? AFI 91-203 para. 13.7


Report Routing

Supervisor Signature:


Superintendent Signature:


Commander Signature:


Safety Office Signature:


Wing Commander Signature:


Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.