Title Page
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Conducted on
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Prepared by
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Location
Controlled Descent Equipment
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Proper Drop Zone in use
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Both lines touching the ground
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Protective carpet visible from the ground
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Two independent suitable anchor points
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proper knots in use
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Tool bungees on all equipment
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Proper hookup of suction cup lanyard
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Reinforced bucket and D-ring backup
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Rope protectors in use at all contact points
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Lines tied back two times for backup
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Equipment and rigging inspected daily before use
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Rope tags on all lines
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Ropes inspected daily
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Ropes pulled up and secured daily
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Worker(s) tied off when working within 6' of a parapet that is less that 42" high
General
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Building sign in/out log filled out
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Maintain a professional and safe work place
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Use of proper P.P.E. gloves, boots, etc.
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Prepared to perform job duties
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Wiping of frames and sills
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Cleaned, organized work-site
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Haz-com trained in products being used
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Proper uniform
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Production deadlines and goals met
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Harness inspected daily
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Rope grab inspected daily
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Cylinder inspected daily