ROOF FALL PROTECTION WORK PLAN Job Location:
Date:
Describe the Job task:
1.
Identify all potential fall hazards in the work area that are 4 feet or more above the ground or lower level: Unprotected sides & edges of rooftops or floors
Unprotected sides & edges of runways, ramps, platforms & dockboards
Wall or floor openings including skylights
Unprotected sides & edges of roof hatches & ladder platforms
Fixed ladders over 24 feet in height
Swing fall
Elevated work platforms
Wall openings
Fall clearance
Fixed Ladders
Pit
Other :
Describe the hazards:
2.
Method of fall protection to be used: Guardrails
Safety Net
Fall Restraint System*
Fall Arrest System**
Designated Area
Warning Line
Work Plan
Other:
Horizontal Life Line
Safety Monitor
Covers (for holes & openings) Describe:
*-Fall Restraint System (horizontal cable or track system, or counterweighted single point anchor)
**-Fall Arrest System (anchorages used to suspend workers or equipment or as a suspended equipment tieback or for vertical safety lines)
3.
Describe procedures for assembly, maintenance, inspection, and disassembly of the fall protection system to be used:
4.
Describe procedures for handling, storage, and securing of tools and materials to provide falling object protection:
5.
Describe methods of overhead falling object protection for employees & those who may be in, or pass through, the area below the work site (i.e. barricading, hard hats required, toe boards, warning signs):