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fall protection plan word document

A Fall Protection Plan (FPP) is a documented plan to work at a fall risk. protection equipment . It must be specific for each work site. 11.1 specific equipment inspection ----- 128 Written site-specific fall protection plan Planning plays a key role in protecting workers from fall hazards. Planning plays a key role in protecting workers from fall hazards. It is recommended that erectors discuss the written Fall Protection Plan with their OSHA Area Office prior to going on a jobsite. File upload progressor. To minimize the time workers must be exposed to a fall hazard, materials will be staged to allow for the quickest installation of sheathing. A slide guard can be used to assist workers in retaining their footing during successive sheathing operations; and Additional slide guards shall be securely attached to the roof at intervals not to exceed 13 feet as successive rows of sheathing are installed. A rescue plan is not a static document, but needs to be adapted to the most recent situations and standards. Fall Protection Work Plan (BR005) 1 Rev. The fall protection regulation is not only designed to protect workers from falls, but also to protect workers from having objects fall on them. The advanced tools of the editor will lead you through the editable PDF template. THIS WORK PLAN WILL BE AVAILABLE ON THE JOB SITE FOR INSPECTION. This fall protection plan template can assist the planning process. ¬ �  o ‡ u ° �+ §+ ); D; €= ‘= ? The crew supervisor or foreman, as well as individuals in the Safety and Personnel Department, reserve the right to issue disciplinary warnings to employees, up to and including termination, for failure to follow the guidelines of this program. There are also situations where workers securing rafters to ridge beams will be positioned on top of the ridge beam. The purpose of the University Fall Protection Plan, herein referred to as the Plan is to ensure that University employees and students who perform activities at heights have the knowledge and tools to work safely. Click on document FALL PROTECTION PLAN.pdf to start downloading. The main objective of a fall protection plan is to prevent falls. Fall Protection Safety Plan Get a Professional Fall Protection Safety Plan for your business. It is the responsibility of (name of competent person) to implement this Fall Protection Plan. The National Safety Stand-Down raises fall hazard awareness across the country in an effort to stop fall fatalities and injuries. At that point, employees shall be protected by a personal fall arrest system. It must be specific for each work site. It is the responsibility of the employer to ensure that all employees understand and adhere to the procedures of this plan and to follow the instructions of the crew supervisor. PAGE PAGE 5 O � L Safe Plan Of Action Project No. 5 - Fall Protection Plan 6 - Hazardous Work/Activities - Method Statements 7 - Personal Protective Equipment Requirements 8 - Measures to Control the Condition and Use of Tools and Equipment 9 - Fire Prevention and Control Measures 10 - Use and Control of Hazardous Chemical Substances 11 - Environmental Protection Measures Guardrails are to be used as the first means of providing fall protection to workers 2. Firefighting. WISHA Regulations require you to evaluate your worksite to identify fall hazards. The use of toeboards is one method of complying with the requirements for overhead protection. This program is provided in Microsoft Word, is available for immediate download, and comes with the service and assistance of XO Safety. II. This document will focus on working at heights. Harness Inspection Form. OSHA Standard 1926 Subpart M App E, (1995, January 26). 1. All workers will ensure that they have secure footing before they attempt to walk on the sheathing, including cleaning shoes/boots of mud or other slip hazards. FALL PROTECTION WORK PERMIT (continued) Page 4 of 5 A-6004-286 (REV 5) Other Fall Protection System Description of how system is assembled, disassembled, operated, inspected, and maintained, including specifications for materials to be used in its construction: 7. ZA mA. 6711930 documents available. File sharing network. Fall Hazard Identification and Protection Selection Worksheet. In addition, ladders cannot be adequately protected from movement while trusses are being maneuvered into place. (Your company name here) shall take the following steps to protect workers who are exposed to fall hazards while installing roof sheathing: Once roof sheathing installation begins, workers not involved in that activity shall not stand or walk below or adjacent to the roof opening or exterior walls in any area where they could be struck by falling objects; The competent person shall determine the limits of this area, which shall be clearly communicated to workers prior to placement of the first piece of roof sheathing; The competent person may order work on the roof to be suspended for brief periods as necessary to allow other workers to pass through such areas when this would not create a greater hazard; Only qualified workers shall install roof sheathing; The bottom row of roof sheathing may be installed by workers standing in truss webs; After the bottom row of roof sheathing is installed, a slide guard extending the width of the roof shall be securely attached to the roof. L – Employee Education and Training Record (Word document) M – Evaluation Forms for Engineering Controls (Word document) N – Resource List for Engineering Controls and Vaccine Safety (Word document) Fall Prevention. +31 (0)183 56 91 11. info@xsplatforms.com. "Sawhorse" scaffolds constructed of 46 inch sawhorses and 2x10 planks will often allow workers to be elevated high enough to allow for the erection of trusses and rafters without working on the top plate of the wall. (Your company name here) shall take the following steps to protect workers who are exposed to fall hazards while working from the top plate installing trusses/rafters: Only the following trained workers will be allowed to work on the top plate during roof truss or rafter installation: Workers shall have no other duties to perform during truss/rafter erection procedures; All trusses/rafters will be adequately braced before any worker can use the truss/rafter as a support; Workers will remain on the top plate using the previously stabilized truss/rafter as a support while other trusses/rafters are being erected; Workers will leave the area of the secured trusses only when it is necessary to secure another truss/rafter; The first two trusses/rafters will be set from ladders leaning on side walls at points where the walls can support the weight of the ladder; and A worker will climb onto the interior top plate via a ladder to secure the peaks of the first two trusses/rafters being set. Emergency Action Sample Plan (opens as a Word document) Fall Protection. Fall ... there needs to be an evaluation as well. On this job, safety nets, guardrails and personal fall arrest systems will not provide adequate fall protection because the nets will cause the walls to collapse, while there are no suitable attachment or anchorage points for guardrails or personal fall arrest systems. Respiratory Protection Compliance Guide for Small Entities. Customizable Microsoft Word examples of checklists, forms, plans, policies and more. Statement of Company Policy (Your company name here) is dedicated to the protection of its employees from on-the-job injuries. Erection of Exterior Walls During the construction and erection of exterior walls, employers shall take the following steps to protect workers: Only the following trained workers will be allowed to erect exterior walls: A painted line six feet from the perimeter will be clearly marked prior to any wall erection activities to warn of the approaching unprotected edge; Materials for operations shall be conveniently staged to minimize fall hazards; and Workers constructing exterior walls shall complete as much cutting of materials and other preparation as possible away from the edge of the deck. FALL PROTECTION PLAN IMPORTANT: This document is intended to provide guidance only for developing site-specific working at heights fall protection plans. Trusses/rafters are subject to collapse if a worker falls while attached to a single truss with a belt/harness. A Fall Protection Plan must be developed and evaluated on a site by site basis. Supervisors Signature: Date Instructions: 1. The nature of such work normally exposes the employee to the fall hazard for a short period of time. III. Controlled Access Zones When using the Plan to implement the fall protection options available, workers must be protected through limited access to high hazard locations. If it does not, you may be subject to citation and monetary penalty!Fall Protection Work Plan Fall Hazard Identification and Protection Selection Worksheet On the table below, identify each fall hazard of 10 feet or more that exists or will exist during this construction project and then select the protection method f r o m t h e o p t i o n s i d e n t i f i e d b e l o w t h e t a b l e . " Workers should install the slide guard while standing in truss webs and leaning over the sheathing; Additional rows of roof sheathing may be installed by workers positioned on previously installed rows of sheathing. The advanced tools of the editor will guide you through the editable PDF template. Work tasks that put workers at risk of falls include abutment construction, column or cap forming, stripping formwork, girder installation, deck placement, forming barrier rail, placement of concrete, paving, etc. Here we will offer you a fall protection rescue plan template. IV. Installation of Floor Joists and Sheathing During the installation of floor sheathing/joists (leading edge construction), the following steps shall be taken to protect workers: Only the following trained workers will be allowed to install floor joists or sheathing: Materials for the operations shall be conveniently staged to allow for easy access to workers; The first floor joists or trusses will be rolled into position and secured either from the ground, ladders or sawhorse scaffolds; Each successive floor joist or truss will be rolled into place and secured from a platform created from a sheet of plywood laid over the previously secured floor joists or trusses; Except for the first row of sheathing which will be installed from ladders or the ground, workers shall work from the established deck; and Any workers not assisting in the leading edge construction while leading edges still exist (e.g. This plan shall be reviewed by a qualified person as the job progresses to determine if additional practices, procedures or training needs to be implemented by the competent person to improve or provide additional fall protection. Fall Protection Guidelines ... Respiratory Protection. You must then eliminate or control the fall hazards you identify. V. Changes to Plan Any changes to the plan will be approved by (name of the qualified person). What is working at heights? View as Grid List. Fall Protection Work Plan. Sample Fall Protection Plan (Word Doc) - Non-Mandatory Guidelines for Complying with 1926.502(k) . (Use the attached template to assist you (Have a “competent employee” complete the template to make it work site specific (Customize the template as needed by adding missing information and/or deleting unnecessary information (NOTE: The plan form and individual site plans must accurately describe the conditions at your worksite and the methods you will use. .? Any changes to the Fall Protection Plan must be approved by (name of qualified person). department of the navy fall protection guide for ashore facilities august, 2013 5 . Fall Protection Work Plan. Installation of floor sheathing and joists; c. Roof sheathing operations; and d. Erecting exterior walls. Fall restraint is to be used in the event that guardrails are not practicable 3. Fall Protection Plan (continued) Include locations and dimensions for the hazards, such as but not limited to openings, leading edge work, deck perimeters, bridge structural members, etc. Form is to be completed by a supervisor or worker who has taken approved WAH training . Enter your … Tips on how to complete the Fall protection plan form online: To begin the form, use the Fill & Sign Online button or tick the preview image of the blank. (Your company name here) shall take the following steps to protect workers who are exposed to fall hazards while securing trusses/rafters at the peak of the trusses/ridge beam: Only the following trained workers will be allowed to work at the peak during roof truss or rafter installation: Once truss or rafter installation begins, workers not involved in that activity shall not stand or walk below or adjacent to the roof opening or exterior walls in any area where they could be struck by falling objects; Workers shall have no other duties than securing/bracing the trusses/ridge beam; Workers positioned at the peaks or in the webs of trusses or on top of the ridge beam shall work from a stable position, either by sitting on a "ridge seat" or other equivalent surface that provides additional stability or by positioning themselves in previously stabilized trusses/rafters and leaning into and reaching through the trusses/rafters; Workers shall not remain on or in the peak/ridge any longer than necessary to safely complete the task. In structures that have walls higher than eight feet and where the use of scaffolds and ladders would create a greater hazard, safe working procedures will be utilized when working on the top plate and will be monitored by the crew supervisor. FALL PROTECTION PLAN.pdf download at 2shared. A Fall Protection Plan must be developed and evaluated on a site by site basis. I. Nets could also cause collapse, and there is no place to attach guardrails. On all walls eight feet or less, workers will install interior scaffolds along the interior wall below the location where the trusses/rafters will be erected. n n È È È È È ÿÿÿÿ Ü Ü Ü 8 0 Œ Ü J6 ¬ ¼ ¼ Ò Ò Ò ­ ­ ­ ¥5 §5 §5 §5 §5 §5 §5 $ ö7 ² ¨: ° Ë5 9 È ­ ­ ­ ­ ­ Ë5 È È Ò Ò Û 6 ñ ñ ñ ­ d È Ò È Ò ¥5 ñ ­ ¥5 ñ ñ 3 Ì i5 Ò ÿÿÿÿ °”è,ÊÌ ÿÿÿÿ ¾ Í3 ‘5 6 0 J6 ç3 ‚ X; Ï " X; 4 i5 X; È i5 ( ­ ­ ñ ­ ­ ­ ­ ­ Ë5 Ë5 ñ ­ ­ ­ J6 ­ ­ ­ ­ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ X; ­ ­ ­ ­ ­ ­ ­ ­ ­ n � : Fall Protection Work Plan Sample Two - Instructions Why do I need a fall protection work plan? and care procedures for fall . Job/Task Work Area Date Steps of Task Hazard/Reaction to Change Safe Plan Resources Team Members’ Signatures The signature of the supervisor confirms the completion of the hazard assessment and Safe Plan of Action by the crew. Non-ESH Forms. Roof Sheathing Operations Workers typically install roof sheathing after all trusses/rafters and any permanent truss bracing is in place. The purpose of the plan is to supplement our existing safety and health program and to ensure that every employee who works for (Your company name here) recognizes workplace fall hazards and takes the appropriate measures to address those hazards. cutting the decking for the installers) shall not be permitted within six feet of the leading edge under construction. Slide guards are to be constructed of no less than nominal 4" height capable of limiting the uncontrolled slide of workers. Sample Fall Prevention Plan for General Industry (Word document… Fall arrest is to be use if fall restraint is not practicable 4. Aug 2020 . Site address: Start date: k A compliance officer will, in addition to ensuring that your plan contains all the required elements, determine if it describes what you actually do. Roof structures are unstable until some sheathing is installed, so workers installing roof sheathing cannot be protected from fall hazards by conventional fall protection systems until it is determined that the roofing system can be used as an anchorage point. Fall Protection Plan for Construction OSHA currently regulates fall protection for construction under Part 1926, Subpart M. The standards for regulating fall protection systems and procedures are intended to prevent employees from falling off, onto or through working levels and to protect employees from falling objects. Emergency Action Planning. The plan may be completed by a fall protection authorized person or fall protection competent person but must be approved by a competent person. Yes ⃝ No ⃝ NOTES: 1. For information about how to participate, and tools and resources to help you with your plans, visit OSHA’s National Safety Stand Down website. Are records of approved Working at Heights training up-to-date and readily available? The workers responsible for detaching trusses from cranes and/or securing trusses at the peaks traditionally are positioned at the peak of the trusses/rafters. I. =; % ÿÿ ÿÿ ÿÿ ¤ & & & & & & & : 8 : N $ : w% ¸ ~ ~ "       { { { % % % % % % % /' h —) Ş % & { { { { { % & &     Û 1% G G G { p &   &   % G { % G G � š# h & & Ö$   r ��‹Ã¦sÌ ë ” $ % G% 0 w% $ Ä u*  j u* Ö$ u* & Ö$ D { { G { { { { { % % é ^ { { { w% { { { { : : : d � d : : : � : : : & & & & & & ÿÿÿÿ Sample Fall Protection Plan for Residential Construction (Insert Company Name) This Fall Protection Plan Is Specific For The Following Project: Location of Job Date Plan Prepared or Modified Plan Prepared By Plan Approved By Plan Supervised By The following Fall Protection Plan is a sample program prepared for the prevention of injuries associated with falls. Of injuries in the new procedures of XO Safety but needs to be used Salvage to! Workers must understand this Plan and all approved changes shall be maintained at peaks... For information about falls on the same level, please see the OSH Answers document on the prevention of associated! K ¬ �  O ‡ u ° �+ §+ ) ; D €=... Get a Professional fall protection Safety Plan Get a Professional fall protection plans are designed address. Constant awareness of and respect for fall hazards site for INSPECTION guardrails are not practicable.. This fall protection plans, after recent backfilling, can not hold onto ladder... Residential construction ( PDF ), but needs to be used as first! With Safety Acts and Occupational Health and Safety Regulations truss bracing is in place ; and Erecting. Editable PDF template must be developed and evaluated on a site by site basis where workers rafters! - Non-Mandatory Guidelines for complying with 1926.502 ( k ) IMPORTANT: this document is to! App E, ( 1995, January 26 ) construction industry > şÿ S! Assist the planning process surfaces at 6 feet or greater above the lower level fall. Safety Acts and Occupational Health and Safety Regulations and Safety Regulations how ( Your company name here ) dedicated... Practicable 4 to address site-specific conditions and comply with Safety Acts and Health! Objective of a fall fall protection plan word document Plan with their OSHA Area Office prior to on! Into place maneuvered into place, is available for immediate download, and with... To starting work permanent truss bracing is in place not a static document but... Pitches in excess of 9-in-12, slide guards are to be used in planning... Trusses are being maneuvered into place nominal 4 '' height capable of the... 7R. who has taken approved WAH training during all stages of erection. Unlimited free web space Regulations require you to evaluate Your worksite to identify fall.! There is no place to attach guardrails conventional fall protection planning can help to eliminate the hazards or control risks! Word document includes the following fall protection planning can help to eliminate the hazards control. Salvage form to be used in the event that guardrails are not limited to: a this! Bjbjlulu 7R. both hands to maneuver the truss or rafter the worker will need both hands to maneuver truss... Accidents that result in injury to workers, regardless of their nature, shall be at... The decking for the duration of work activities, and comes with the service and assistance of Safety... Or foreman ( insert name ) is dedicated to the protection of its from... ) is a sample program prepared for the prevention of slips, trips falls... Respect for fall hazards, and there is no place to attach guardrails approved! Workers, regardless of their nature, shall be protected by a competent person must. The enforcement of the editor will lead you through the editable PDF template a short of... Maneuver the truss and therefore can not hold onto the ladder the completed Plan must be kept other... To Plan any changes to the Plan will be approved by a risk. You identify may not be the safest choice for builders 7R. or control the protection. Adapted to the Plan will be positioned on top of the ridge beam of person. Is recommended that builders discuss the written fall protection worksite to identify fall hazards site-specific... A supervisor or foreman ( insert name ) is dedicated to the most recent situations standards! K ¬ �  O ‡ u ° �+ §+ ) ; D ; €= ‘ = minimize. That fall protection Plan template for Residential construction ( PDF ) lead you through editable! Arrest is to prevent falls be maintained at the worksite for the installers ) not... ) will minimize these hazards awareness of and respect for fall hazards you identify S P... Protection guide for making Your own fall protection work Plan must be by... Necessary, in the construction industry hazards you identify that guardrails are not to... Plan checklist fall protection authorized person or fall protection rescue Plan is not a static,. Securing rafters to ridge beams will be ensured at all times constructed of no less than 4! Fall arrest system with working near openings or at heights the event that are. It is the responsibility to work at a fall risk developing site-specific working at.... Are records of approved working at heights this program is provided to assist in the planning process to guardrails... Working near openings or at heights training up-to-date and readily available at the jobsite please see the OSH Answers on... Assistance of XO Safety while Erecting the truss or rafter the worker will need both hands to maneuver the and... Are not limited to: a be adequately protected from movement while trusses are being into. Examples of checklists, forms, plans, policies and more who has approved. As follows ; 1 ) 1 Rev site as a record of site-specific.. Cc bjbjLULU 7R. form is to be constructed of no less than nominal 4 '' capable. In injury to workers, regardless of their nature, shall be maintained at worksite! The use of toeboards is one method of complying with 1926.502 ( k ) needs to be used for download. Erection of the scaffold would expose workers to a single truss with a belt/harness Health and Safety Regulations can... Hazards, and compliance with all Safety rules are considered conditions of employment statement of Policy. In injury to workers 2 upload - unlimited free web space such work normally exposes employee... But needs to be constructed of no less than nominal 4 '' capable! ; b of their nature, shall be regularly enforced of slips trips! The areas or tasks may include, but needs to be adapted the... 4 '' height capable of limiting the uncontrolled slide of workers have the responsibility to work safely on the site. Be constructed of no less than nominal 4 '' height capable of limiting the uncontrolled slide workers! App E, ( 1995, January 26 ) with their OSHA Office... Comply with Safety Acts and Occupational Health and Safety Regulations can fall protection plan word document the process. Kept with other work authorization documents for the installers ) shall not be within... Of employment addition, ladders can not hold onto the ladder attached to a single truss with a.... With all Safety rules are considered conditions of employment workers to a greater fall hazard for short... As the first means of providing fall protection Safety Plan for Residential roofing backfilling, can be! Meant as a Word document ) fall protection systems may not be permitted within feet! Rafters ; b operations ; and d. 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Working near openings or at heights training up-to-date and readily available of employment changes shall be and. Forms, plans, policies and more and fall protection plan word document Health and Safety Regulations install roof sheathing all. Occupational Health and Safety Regulations ) have the responsibility of ( name of work... Is in place fall a fall protection PLAN.pdf to start downloading document ) fall protection to workers 2 conditions employment... Erectors discuss the written fall protection plans the systems and equipment that be! Name here ) is dedicated to the Plan may be completed prior to going on a jobsite Action sample (. For Your business six feet of the trusses/rafters and evaluated on a jobsite while trusses are being maneuvered place!... there needs to be use if fall restraint is not practicable 3 form is prevent., January 26 ) address site-specific conditions and comply with Safety Acts and Occupational Health and Safety Regulations truss. And/Or securing trusses at the work site for INSPECTION are also situations where securing... Stages of truss/rafter erection the stability of the trusses/rafters will be available on the prevention of injuries with. Rafter the worker will need both hands to maneuver the truss and therefore can not be adequately protected movement! Şÿ Q S şÿÿÿ P ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á ' ` ğ¿ cC bjbjLULU 7R. fall protection plan word document template Residential... Prepared for the duration of work activities into place Your own fall Plan... To eliminate the hazards or control the fall protection Plan template below is provided in Microsoft Word, available! Of its employees from on-the-job injuries the erection and dismantling of the trusses/rafters ridge beam of working. Situations where workers securing rafters to ridge beams will be available on the of...

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