Title Page

  • Client / Site

  • Conducted on

  • Location
  • Prepared by

Observe

  • Could the task be changed from fall arrest to a fall restraint situation?

  • Is there a swing fall hazard?

  • Are the tie off points appropriate and approved?

Interview

  • Does the worker have current fall protection training?

  • Has the fall distance and fall clearance been considered?

  • Has the worker inspected their fall protection equipment?

Observation/comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.