Protection Work Plan (FPWP) before proceeding to work. The employees must understand this Fall Protection Work Plan (FPWP) and be well-trained and guided in fall protection and the systems (FAS) and appropriate equipment that will be used to accomplish the work/daily and or routine worksite activities. This Safety Document Fall Protection Work Plan (FPWP) must be displayed at the project/site for the duration of work activities. The Workforce must carefully review and sign this fall 

A. Identify Potential Fall Hazards (Check All that Apply)

1. Mobile elevating work platforms

2. Excavations/trenches

3. Floor openings

4. Wall openings

5. Skylight openings

6. Roof openings

7. Elevator shaft

8. Ladders (fixed or portable)

9. Scaffold

10. Stairways

11. Roof steep slope (greater than 4:12)

12. Roof low slope (4:12 or less)

13. Swing fall

14. Hazardous process/equipment

15. Debris/objects falling to the lower level

16. Sharp edges

17. Reinforcing steel installation work

B. Identify fall protection systems to be used

1. Guardrail system

2. Covers (holes and openings)

3. Appropriate anchors for systems used

4. Personal Fall Arrest System (PFAS) 

5. Positioning device system

6. Scaffold with guardrail

7. Scissor lift

8. Aerial lift

9. Horizontal lifeline

10. Vertical lifeline and rope grab

11. Warning line

12. Safety monitor   

13. Safety watch    

Identify methods of overhead protection for workers who may be in, or pass through the area below the worksite

C. Identify Method for Prompt, Safe Removal of Injured Workers          

A written agreement with: 

1. Self-rescue

2. Site first aid

3. Other employees

4. Elevator/stairs                        

D. Select System Components

1. Full body harness

2. Choker

3. Vertical lifeline

4. Carabiner 

5. Horizontal lifeline

6. Rope grab 

7. Lanyard 

8. Personal shock absorber

9. Boatswain's chair

10. Beamer

11. Connecting devices (identity)

12. Anchorage points (identify)                                     

E. Inspection Checklist

1. Identification Tags

2. Horizontal Lifeline Tension is Correct

3. The integrity of stitching in the Shock Absorber

4. The integrity of stitching in Harness/ Lanyard

5. Manufacturers' assembly/ disassembly instructions

6. The locking capability of retractable lanyards assured

7. The locking capability of carabiners assured

8. Locking capability of snap hooks assured

9. CHECK IF ANY Knots and other connection methods do not weaken the lifeline.

10. PROPER Lifelines installed and protected from cuts or abrasions

11. Rope (wear, fraying, damage, mildew)

12. Lanyards (wear, fraying, damage, mildew)

13. D-rings have APPROPRIATE strength and are not cracked or damaged.

14. Guardrails are sound and of adequate strength

15. Devices that are used to connect to horizontal lifelines lock in both directions

16. Anchorage points to provide adequate strength and are capable of meeting requirements

17. Warning line meets strength and other requirements

18. Safety Monitor is a Competent Person, can see workers, is close enough to communicate, and has no other duties

19. A safety Watch is a Competent Person, who can see workers, is close enough to communicate and has no other duties

20. Hole covers are secured, marked, and capable of withstanding anticipated weight loads

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