Fall Protection Plan Template printable pdf download

Fall Protection Plan Template

FORM

2/7/2013

OOL

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LBERTA

FALL PROTECTION PLAN TEMPLATE

BENEFITS

Falls are one of the leading causes of workplace injury in Canada. As a result, the OHS laws require

employers to protect workers from falling (such as by installing guard rails) and protect them if they should

fall (such as by providing and requiring workers to use fall arrest systems). And some jurisdictions go further

and require employers to implement fall protection plans. An effective fall protection plan should generally

have six components:

1. Fall hazards at workplace

2. Fall protection systems to be used

3. Anchors to be used

4. Confirmation of clearance distances below the work area

5. Procedures to assemble, maintain, inspect, use and disassemble the fall protection systems

6. Rescue procedures.

HOW TO USE THE TOOL

Use this template to develop a fall protection plan for your workplace. Adapt the template for the fall

protection plan requirements under your jurisdiction’s OHS laws.

OTHER RESOURCES:

SafeWork Alberta

Fall Hazards: Does Your Workplace Need a Fall Protection Plan?

Fall Hazards: Complying with the Hierarchy of Fall Protection Equipment

Fall Protection Equipment Inspection Checklist

Fall Protection Safety Video

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Fall Protection Plan Template