Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add location
  • Select date

  • Do Safety Harnesses fit properly, leg straps are tight, shoulder straps do not pull off shoulders, D-ring is in between shoulder blades, and seat strap is properly located?

  • All Fall Protection equipment is inspected by the user prior to use?

  • Self retracting Life-lines have documentation of inspections for at least the frequency recommended by the manufacturer?

  • Portable ladders in the area free from defects, cracks, non skid feet missing, broken rungs?

  • Sub Contractors using a Fall Protection have a Fall Protection Plan?

  • Employee using Fall Protection have determined that the length of their lanyard will protect them adequately. (Does the employee know where he/she will end upon the event of a fall?)

  • When work is being performed around an existing fall hazard, the employee recognize if they are using Fall Restraint or Fall Arrest?

  • Fall hazards within the area are identified?

  • Employees recognize that the responsibility to recognize a fall hazard lies with every individual. It is everyone's responsibility to know when they could be in a hazardous situation and to communicate with their Forman and Safety?

  • Employees recognize that precautions must be taken to prevent falls on any permanent walking/working surfaces elevated over 4feet?

  • Employees recognize that a Fall Hazard exists and precautions must be taken anytime they can fall to another level greater than 6feet/4feet?

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.