6601071_Fall Protection Task Plan

FALL PROTECTION TASK PLAN

Task plans are to be completed every month, for every task involving fall protection systems.
Project:
Company:
Date:

YearMonthDay
Date
What type of system(s) will be used?
The Fall Protection Permit is for (SPECIFIC LOCATION):
Prepared By:
Implemented By:
Monitored By:
Approved By:
Specific Task Description:
Fall Protection System to be used: (Check all that apply)
Any other fall protection means that were not listed above?
The Anchor Point is established:
The Anchor Point is rated for:
Explain how Fall Protection System will be used for your task (describe what you are using, where you are using it, how are you making sure leading edges are not exposed to other workers in area, are you barricading areas below, how are you tethering tools/equipment, etc.)
Personnel have been trained in the use, inspection, and maintenance of the fall protection system to be used:
Personnel were trained by: (Instructor name or company)
List the personnel to conduct this task: (First and Last names)
Emergency Response Plan:
Fall rescue kit located at Level 1 elevator lobby...
Signature:
Should be Empty:

FALL PROTECTION TASK PLAN