Title Page

  • Conducted on

  • Prepared by

  • Location

Controlled Descent Equipment

  • Proper Drop Zone in use

  • Both lines touching the ground

  • Protective carpet visible from the ground

  • Two independent suitable anchor points

  • proper knots in use

  • Tool bungees on all equipment

  • Proper hookup of suction cup lanyard

  • Reinforced bucket and D-ring backup

  • Rope protectors in use at all contact points

  • Lines tied back two times for backup

  • Equipment and rigging inspected daily before use

  • Rope tags on all lines

  • Ropes inspected daily

  • Ropes pulled up and secured daily

  • Worker(s) tied off when working within 6' of a parapet that is less that 42" high

General

  • Building sign in/out log filled out

  • Maintain a professional and safe work place

  • Use of proper P.P.E. gloves, boots, etc.

  • Prepared to perform job duties

  • Wiping of frames and sills

  • Cleaned, organized work-site

  • Haz-com trained in products being used

  • Proper uniform

  • Production deadlines and goals met

  • Harness inspected daily

  • Rope grab inspected daily

  • Cylinder inspected daily

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.