Written Site-Specific Fall Protection Plan Template - Workers' Safety And Compensation Commission, Nanavut, Canada Page 3

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Ladder setup
Set up on a firm, level base
Extends approx. 1 metre (3 feet) past edge of roof
Set up 4:1 (vertical:horizontal)
Secured/tied off
Fall protection system special assembly procedures
Rescue procedures for a fallen worker
Fall protection definitions
Fall restraint means a system to prevent a worker from falling from a work position, or from travelling to an unguarded
edge from which they could fall.
Fall arrest means a system that will stop a worker’s fall before they hit the surface below.
Guardrail means a guard consisting of a top rail, approximately 107 cm (42 in.) above the floor level, and an intermediate
rail centred at approximately the mid-point of the space between the underside of the top rail and the floor level or upper
edge of the toe-board if one is fitted.
Notes
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WRITTEN SITE-SPECIFIC FALL PROTECTION PLAN – 09.2014

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