Millenium Interiors Fall Protection Plan

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fall Hazards

• Identify existing and potential fall hazards associated with work site

Fall Protection systems to be used

• Identify the fall protection systems to be used at the work site to protect the workers from fall hazards ( ie, travel restraint, fall arrest, safety net, control zone, etc.)

Anchors to be used during the work

• Identify the anchors, both engineered and improvised that workers are to use

Clearance distances to be confirmed

• Clearance distances must be sufficient to prevent worker from striking the ground ,and objects, or level below the area

Procedures

• Identify the procedures to assemble, inspect, use, maintain and dismantle the fall protection systems identified above

Rescue plan

• Describe the procedures that will be followed if a worker falls and needs to be rescued

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