Information
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Document No.
Fall Protection Work Plan
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Worksite:
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Date:
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Working Height:
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System to be Used:
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Describe Work Area:
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Work Area Photos:
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Rescue Options:
- Bootstrap
- Ladder
- Rope
- Manpower
- Boomlift/Crane
- Fire Department
- High Angle Rescue
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Describe Rescue Procedures:
WORKERS TRAINED
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Name:
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Conducted by:
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Reviewed by: