• Audit Title

  • Squadron

  • Conducted on

  • Inspector

  • Location
  • Supervisor

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:

  • Notification

  • Superintendent Signature:

  • Notification

  • Commander Signature:

  • Notification

  • Safety Office Signature:

  • Notification

  • Wing Commander Signature:

  • Notification

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