When implementing a fall protection system for workers at height, it’s important to have specific written instructions in place for proper use of the safety system as well as rescue plan in place in the event of a fall. Fall protection plans need to be specific to the work environment and the applied fall protection system.
FLS recommends using the sample fall protection plan below only as an example. Your customer safety representative should develop a detailed plan for your specific worksite system application.
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Fall Protection & Rescue Plan Example
FLS recommends using the following only as an example. Most sites will be more specific. The customer’s safety representative should develop a detailed plan.
6.1 BC Construction Industry Health & Safety Council Site Specific Fall Protection Plan
6.1.1 Employer Responsibilities
Ensure a written worksite specific fall protection plan is in place
Ensure that a fall protection system is being used
Ensure that guardrails are used when practicable
Ensure a fall restraint system is in place when applicable
If a fall restraint system cannot be used, ensure a fall arrest system is in place
Provide appropriate control zone procedures if the above are not appropriate
Ensure supervisors and workers are trained
Ensure all equipment is safe, maintained, inspected and used correctly
Investigate any anomalies in the system to make recommendations so that such anomalies will not happen again
Update the program as needed
Follow up on our program
6.1.2 Supervisor Responsibilities
Ensure the program is prepared for each site
Ensure the program is being implemented
Inspect the program as it is used
Review the program
Investigate any anomalies and make recommendations to prevent reoccurrence
Investigate all workers reports of anomalies to the system
Keep a log of all workers trained for the fall protection program and topics that were covered before they work in the fall protected area
Ensure all workers have a copy of the fall protection program
Inspect, maintain, and use the equipment in the recommended methods
Ensure that all workers are provided with the appropriate equipment
Observe workers, work practices and site operations and correct when necessary
6.1.3 Worker Responsibilities
Know the fall protection plan
Follow the procedures as trained
Inspect equipment
Maintain equipment
Report any anomalies to the supervisors
Ensure the equipment is used as the manufacturer recommends
Inspect the program
It is a condition of employment that all managers, supervisors, and workers comply with the company safety policy and safety programs
6.1.4 Company Policy Statement
Company Name and Address: We at ______________ believe that our employees are very important to us. Fall Protection is an important aspect of our program to insure that people who work for us can continue to live safe and healthy lives. We at ______________ require all employees who work at heights above 10 feet and over to be protected from falling. In some cases, we will also implement fall protection at a lesser height if there is a danger or hazard in the area below. A written fall protection plan will be developed and implemented when a fall hazard of 25 feet or more exists or when a safety monitor and control zone is required.
The intent of the plan is to:
Help prevent falls
Assist workers and supervisors to identify the fall hazards of the site before work begins at heights.
Assist in the selection of an appropriate fall protection system(s)
Assist in rescue procedures for someone if a fall should occur
It is our company policy that all managers, supervisors and workers comply with the fall protection guidelines we have established. We have several checklists to help our supervisors and workers in identifying problem areas on the site. These checklists will be of much help when our supervisors are developing the site-specific program. We have outlined some specific responsibilities for ourselves (the employer), our supervisors and our workers as follows:
Signature of Management and Date
6.1.5 Site specific Fall Protection Work Program
Company: Address: Phone: Date: Project: Location: Phone: Date: Supervisor: Site Safety Representative: Job Description and Type of Work (circle one): New Alterations Demolition Maintenance Repair Specific Work Area: A brief description of the type of work being done:
Is a control zone used (circle one): Yes No If yes, where: Is the control zone marked (circle one): Yes No If yes, how: What is the set-back distance of the control zone area (circle one): Meters Feet
The Safety Monitor Name of Safety Monitor: Safety Monitor Training: Date Trained: Number of workers to be monitored: Journeyman: Apprentices:
All the following Workers have been trained in the Safety monitor system: Date: 1. 2. 3. 4. 5. 6. 7. 8.
Describe the type of work being done:
List the fall hazards:
Draw a diagram of the control zone:
Describe the type of fall protection system to be used:
Other considerations:
Describe the type of work being done in other fall hazard areas:
List the fall hazards:
Draw a diagram, if necessary:
Describe the type of fall protection system to be used:
Other considerations:
In detail, describe the procedure to be followed if someone is to be rescued after a fall occurs:
Other concerns or considerations:
Hazard Identification
Scaffold Work
Lock Out
Walls
Floor Openings
Edge of Slab
Electrical Hazards
Other Trades
Manholes
Shafts
Doors
Tripping Hazards
Drop Off Points
Fly Forms
Swing Stages
Excavations
Crane Operations
Work Access Above
Walkways Above
Type of Fall Protection Name:
Guardrails
Toe Boards
Horizontal Lifelines
Vertical Lifelines
Harness and Lanyard
Belt and Lanyard
Warning Lines
Cover Over Holes
Wire Rope Lifelines
Fiber Rope Lifelines
Robe Grabs
Fall Arrest Blocks
Tie Backs
Safety Nets
Canopies
Describe in detail all work procedures including hazard identification, assembly, maintenance, use, disassembly, and inspection of the equipment, system and/or area. Ensure all required equipment is provided, identified, inspected and put in a log book before use.
Equipment Log
Equipment Name
Equipment #
Date Inspected
Date Removed
Safety Belts
Harnesses Safety Lines
Lanyards
Horizontal Lifelines
Nets
Platforms
Rebar Guards
Guardrails
All workers who will be exposed to fall hazards are informed of those hazards and are instructed in the fall protection system to be used and the procedures to be followed. All contents of this program have been conveyed to the workers. All necessary equipment has been provided.
Site Superintendent: Signature: Print Name: Date: Site Safety Representative: Signature: Print Name: Date: