WORKING AT HEIGHTS POLICY policies... · Procedure ID: Working at Heights Policy Johnny Srader Created Date: 03/17/2015, updated: 04/24/2015 3 1 PURPOSE Working at heights is dangerous,

Procedure ID: Working at Heights Policy Johnny Srader Created Date: 03/17/2015, updated: 04/24/2015

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WORKING AT HEIGHTS POLICY


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Contents

1 PURPOSE ........................................................................................................................................................ 3

2 PROGRAM COMPLIANCE ................................................................................................................................ 3

3 SCOPE ............................................................................................................................................................ 3

4 DEFINITIONS .................................................................................................................................................. 3

5 RESPONSIBILITES ............................................................................................................................................ 5

6 PROCEDURE ................................................................................................................................................... 6

7 CONTROLLED ACCESS ZONES .......................................................................................................................... 6

8 FALL PROTECTION SYSTEMS ........................................................................................................................... 7

9 PERSONAL FALL PROTECTION EQUIPMENT .................................................................................................... 8

10 FALL RESCUE ............................................................................................................................................. 10

11 SAFETY MONITORING SYSTEMS ............................................................................................................... 10

12 SAFETY NET SYSTEMS ............................................................................................................................... 10

13 MOBILE ELEVATED WORKING PLATFORMS .............................................................................................. 10

14 TRAINING ................................................................................................................................................. 12

15 CONTRACTORS ......................................................................................................................................... 12

16 APPENDICIES ............................................................................................................................................ 12

APPENDIX A: WORKING AT HEIGHTS PRE-JOB PLAN ............................................................................................ 14

APPENDIX B: PERSONAL FALL PROTECTION EQUIPMENT INSPECTION CHECKLIST ............................................... 15


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1 PURPOSE

Working at heights is dangerous, regardless of the nature or extent of the height, and every effort must be made by relevant managers and supervisors to ensure that a safe system is provided and carried out. This document describes how working at heights is to be performed by Tetra Pak Inc. employees and contractors.

2 PROGRAM COMPLIANCE

2.1 All Tetra Pak Inc. employees and contractors shall comply with the requirements of this procedure.

2.2 Violations of this policy will result in progressive disciplinary action in accordance with Tetra Pak Inc. policy.

3 SCOPE

3.1 This procedure applies to all Tetra Pak Inc. employees working above lower levels by:

3.1.1 Four feet or more at a Tetra Pak Inc. locations and customer sites when performing equipment servicing and maintenance; and

3.1.2 Six feet or more at customer or project sites performing equipment installation.

3.2 This procedure specifically relates to field service employees, maintenance technicians, machine operators, and any other personnel who might be working at elevated heights.

3.3 All Tetra Pak Inc. employees must refuse to perform work activities at elevated heights if the requirements of this procedure cannot be met.

3.4 Tetra Pak Inc. field service employees and contractors must comply with customer-specific procedures where their requirements are stricter than this policy.

3.5 This policy shall be effective May 01, 2015.

4 DEFINITIONS

4.1 Anchorage – a secure point of attachment for lifelines, lanyards, or deceleration devices.

4.2 Body Belt – a strap with means both for securing it about the waist and for attaching it to a lanyard, lifeline, or deceleration device.

4.3 Body Harness – straps that may be secured about the person in a manner that distributes the fall-arrest forces over at least the thighs, pelvis, waist, chest, and shoulders with a means for attaching the harness to other components of a personal fall arrest system.

4.4 Competent person – person responsible for implementing the Working from Heights plan at the work site.

4.5 Connector – a device that is used to couple (connect) parts of a personal fall arrest system or positioning device system together.


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4.6 Controlled Access Zone - a work area designated and clearly marked in which certain types of work (such as overhand bricklaying) may take place without the use of conventional fall protection systems (e.g. guardrail, personal arrest or safety net) to protect the employees working in the zone.

4.7 Deceleration Device – any mechanism, such as a rope grab, ripstitch lanyard, specially-woven lanyard, tearing or deforming lanyards, and automatic self-retracting lifelines/lanyards, which serves to dissipate a substantial amount of energy during a fall arrest, or otherwise limits the energy imposed on an employee during fall arrest.

4.8 Deceleration Distance – the additional vertical distance a falling person travels, excluding lifeline elongation and free fall distance, before stopping, from the point at which a deceleration device begins to operate.

4.9 Guardrail System – a barrier erected to prevent employees from falling to lower levels.

4.10 Hole – a void or gap 2 in (5.1 cm) or more in the least dimension in a floor, roof, or other walking/working surface.

4.11 Lanyard – a flexible line of rope, wire rope, or strap that generally has a connector at each end for connecting the body belt or body harness to a deceleration device, lifeline, or anchorage.

4.12 Leading Edge – the edge of a floor, roof, or formwork for a floor or other walking/working surface (such as a deck) which changes location as additional floor, roof, decking, or formwork sections are placed, formed, or constructed.

4.13 Lifeline – a component consisting of a flexible line for connection to an anchorage at one end to hang vertically (vertical lifeline), or for connection to anchorages at both ends to stretch horizontally (horizontal lifeline), that serves as a means for connecting other components of a personal fall arrest system to an anchorage.

4.14 Low Slope Roof – a roof having a slope less than or equal to “four in twelve” (4:12 or 18°), vertical to horizontal.

4.15 Opening – a gap or void of 30 in (76 cm) or more high and 18 in (46 cm) or more wide, in a wall or partition, through which employees can fall to a lower level.

4.16 Personal Fall Arrest System – a system used to arrest an employee in a fall from an elevated working level and includes, but is not limited to, an anchorage, connectors, and a body harness used to arrest an employee in a fall from a working level.

4.17 Positioning Device System – a body belt or body harness system rigged to allow an employee to be supported on an elevated vertical surface, such as a wall, and work with both hands free while leaning backwards.

4.18 Qualified Person – person responsible for preparing a Working from Heights plan at sites where work from heights is to be performed.

4.19 Safety Monitoring System – a safety system in which a competent person is responsible for recognizing and warning employees of fall hazards.

4.20 Self-Retracting Lifeline/Lanyard – a deceleration device containing a drum-wound line which can be slowly extracted from, or retracted onto, the drum under minimal tension during normal


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employee movement and which, after onset of a fall, automatically locks the drum and arrests the fall.

4.21 Snaphook – a connector consisting of a hook-shaped member with a normally closed keeper, or a similar arrangement, which may be opened to permit the hook to receive an object and, when released automatically, closes to retain the object.

4.22 Toeboard – a low protective barrier that prevents material and equipment from falling to lower levels and which protects personnel from falling.

4.23 Unprotected Sides and Edges – any side or edge (except at entrances to points of access) of a walking/working surface (e.g., floor, roof, ramp, or runway) where there is no wall or guardrail system at least 39 in (99.1 cm) high.

4.24 Walking/Working Surface – any surface, whether horizontal or vertical, on which an employee walks or works, including but not limited to floors, roofs, ramps, bridges, runways, formwork, and concrete reinforcing steel. This does not include ladders, vehicles, or trailers on which employees must be located to perform their work duties.

5 RESPONSIBILITES

5.1 Supervisors, Line Managers, and Functional OHS Leads

5.1.1 Enforcing the requirements of this procedure.

5.1.2 Provisioning equipment necessary for employees to protect themselves from fall hazards.

5.1.3 Ensuring employees have completed training prior to working at height.

5.1.4 Investigating incidents and near misses involving falls from elevated heights.

5.2 Project Managers or Site Responsible

5.2.1 Determining if employees will be required to perform work activities at elevated heights.

5.2.2 Advising employees on when they will be required to perform work activities at elevated heights.

5.2.3 Providing employees with customer specific requirements.

5.2.4 Investigating incidents and near misses involving falls from elevated heights at customer sites.

5.2.5 Ensuring Tetra Pak Inc. employees and contractors comply with the requirements of this procedure at customer sites.

5.2.6 Fulfilling the roles of both competent person and qualified person at customer or project sites.

5.2.7 Reporting incidents and near misses involving falls from elevated heights at customer and project sites to the project manager.

5.3 Employees

5.3.1 Complying with the requirements of this procedure.


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5.3.2 Inspecting and maintaining personal fall protection equipment prior to use.

5.3.3 Using fall protection equipment in the manner that they are designed to be used.

5.3.4 Completing fall protection training.

6 PROCEDURE

6.1 Site Specific Working at Heights Plan

At customer sites, the qualified person shall prepare a site-specific Working at Heights Plan using the form in Appendix A to ensure the following:

6.1.1 All employees and contractors are aware of the requirements of this procedure.

6.1.2 Fall protection controls are identified, available, and inspected.

6.1.3 Areas below the elevated work surface are clear and secure.

6.1.4 Rescue procedures are established.

6.2 Controls from Fall Hazards

Controls for protecting employees from fall hazards should be selected in the following order of priority:

6.2.1 Elimination of the fall hazard by performing work at the ground level or at least 15 feet (4.6 meters) away from a leading edge.

6.2.2 Installation of fall protection systems.

6.2.3 Use of personal fall protection equipment.

6.3 Work shall be planned such that work at elevated heights is eliminated or minimized by completing as much work as possible on at ground level.

7 CONTROLLED ACCESS ZONES

7.1 Controlled access zones, when created to limit entrance to areas where leading edge work and other operations are taking place, shall be defined by a controlling line or other means that restricts access.

7.2 Control lines shall consist of ropes, wires, tapes or equivalent material, supporting stanchions, and each shall:

7.2.1 Be flagged or otherwise clearly marked at not more than 6 ft (1.8 m) intervals with high visibility material.

7.2.2 Be rigged and supported in such a way that the lowest point (including sag) is not less than 39 in (99.1 cm) from the walking/working surface and the highest point is not more than 50 in (127 cm).

7.2.3 Be strong enough to sustain stress of not less than 200 lbs (90.7 kg).

7.2.4 Extend along the entire length of the unprotected leading edge and shall be parallel to the unprotected or leading edge.

7.2.5 Be connected on each side to a guardrail system or wall.


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7.3 When control lines are used they shall be erected not less than 6 ft (1.8 m) and no more than 25 ft (7.62 m) from the unprotected or leading edge.

8 FALL PROTECTION SYSTEMS

8.1 Covers

Covers used over holes shall meet the following criteria:

8.1.1 All covers shall be secured to prevent accidental displacement.

8.1.2 Covers shall bear the markings “HOLE” or “COVER”.

8.1.3 Covers shall have posted load limits and shall be able to support twice the weight of employees, equipment and materials that might cross them.

8.2 Guardrail Systems

Guardrail Systems used to protect employees from falls shall meet the following criteria:

8.2.1 At least ¼ in (6.35 mm) in diameter (steel or plastic banding is unacceptable).

8.2.2 Flagged every 6 ft (1.8 m) or less with a high-visibility material if wire rope is used.

8.2.3 42 in (106.7 cm) plus or minus 3 in (7.62 cm), above the walk/working level, and adjusted to accommodate the height of stilts if they are used.

8.2.4 Include midrails, screens, mesh, intermediate vertical members, and solid panels that are erected in accordance with the OSHA Fall Protection Standard.

8.2.5 Restricted when they are not in use by gates or removable guardrail sections placed across openings.

8.3 Falling Objects

When guardrail systems are in use, the openings shall be small enough to prevent passage of potential falling objects. The following procedures must be followed to prevent hazards associated with falling objects:

8.3.1 No materials (except masonry and mortar) shall be stored within 4 ft (1.2 m) of working edges.

8.3.2 Excess debris shall be removed regularly to keep work areas clear.

8.3.3 During roofing work, materials and equipment shall be stored no less than 6 ft (1.8 m) from the roof edge unless guardrails are erected at the edge.

8.3.4 Stacked materials must be stable and self supporting.

8.3.5 Canopies shall be strong enough to prevent penetration by falling objects.

8.3.6 Toeboards erected along the edges of overhead walking/working surfaces shall be:

8.3.6.1 Capable of withstanding a force of at least 50 lbs (22.7 kg).

8.3.6.2 Solid with a minimum of 3-1/2 in (8.9 cm) tall and no more than ¼ in (6.35 mm) clearance above the walking/working surface.

8.3.7 Equipment shall not be piled higher than the toeboard unless sufficient panelling or screening has been erected above the toeboard.


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8.3.8 Areas directly below the elevated working surface shall be barricaded or roped off to prevent employees from entering.

8.4 Competent employees shall visually inspect all components of Fall Protection Systems prior to use to ensure strength and stability.

9 PERSONAL FALL PROTECTION EQUIPMENT

9.1 Personal fall protection equipment shall be issued, at no cost to employees, when it is required to protect against fall hazards.

9.2 Employees shall not use personal fall protection equipment if it is ill-fitting or in disrepair or poor condition.

9.3 Personal fall protection equipment shall be used in accordance with the manufacturer’s specifications.

9.4 All components personal fall protection equipment shall be visually inspected prior to use for wear, damage, and other deterioration.

9.5 Thorough inspections, following manufacturer procedures, of all components of personal fall protection equipment shall be inspected annually using the Inspection Form in Appendix B.

9.6 Personal fall protection equipment shall be removed from service if any damaged components are detected.

9.7 All components of personal fall protection equipment shall meet the specifications of ANSI Z359.1 “American National Standard Safety Requirements for Personal Fall Arrest Systems, Subsystems and Components” and shall be used in accordance with the manufacturer’s instructions.

9.7.1 The use of non-locking snaphooks is prohibited.

9.7.2 Dee-rings and locking snaphooks shall:

9.7.2.1 Have a minimum tensile strength of 5,000 lbs (2268 kg).

9.7.2.2 Be proof-tested to a minimum tensile load of 3,600 lbs (1633 kg) without cracking, breaking, or suffering permanent deformation.

9.8 Lifelines shall meet the following minimal requirements:

9.8.1 Designed, installed and used under the supervision of a qualified person.

9.8.2 Protected against cuts and abrasions.

9.8.3 Capable of supporting a minimum dead weight of 5,000 lbs (2268 kg).

9.8.4 Equipped with horizontal lifeline connection devices capable of locking in both directions on the lifeline when used on suspended scaffolds or similar work platforms that have horizontal lifelines that may become vertical lifelines.

9.9 Fall restraint systems shall meet the following minimal requirements:

9.9.1 Prevent an employee from reaching a fall hazard.

9.9.2 Consist of:


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9.9.2.1 Body harness or body belt.

9.9.2.2 Anchorage capable of supporting twice the potential impact load or 1,000 lbs (454 kg), whichever is greater.

9.9.2.3 Fixed-length lanyard adjusted to a length that will ensure the user cannot reach the fall hazard.

9.9.3 Not to be used on vertical surfaces or on surfaces with a slope that is steeper than 1:3 (18.4°) from the horizontal.

9.10 Work positioning systems shall meet the following minimal requirements:

9.10.1 Hold an employee in place while allowing them to use both hands on elevated vertical surface.

9.10.2 Consist of:

9.10.2.1 Body harness or body belt.

9.10.2.2 Anchorage capable of supporting twice the potential impact load or 3,000 lbs (1361 kg), whichever is greater.

9.10.2.3 Lanyard or other connection that limits free fall to 2 ft (61 cm) or less.

9.10.3 Are only to be used on vertical surfaces.

9.11 Fall arrest systems shall meet the following minimal requirements:

9.11.1 Minimize free fall distance and stop a fall at a safe deceleration rate.

9.11.2 Consist of:

9.11.2.1 Body harness.

9.11.2.2 Anchorage supporting 5,000 lbs (2268 kg) for each person attached or twice the potential impact load, whichever is greater.

9.11.2.3 Fall-arresting lanyard or self-retracting lanyard.

9.11.3 When fall arrest systems use fall-arresting lanyards, they shall:

9.11.3.1 Limit free fall to no more than 6 ft (1.8 m) and prevent the employee from contacting the lower level.

9.11.3.2 Limit arresting force to less than 1,800 lbs (816 kg).

9.11.3.3 Limit deceleration distance to less than 3.5 ft (1.1 m)

9.11.3.4 Be capable of supporting twice the impact energy of an employee falling 6 ft (1.8m) (or the free fall distance permitted by the fall arrest system).

9.11.4 Self-retracting lifelines and lanyards must have ropes and straps (webbing) made of synthetic fibers, and shall:

9.11.4.1 Sustain a minimum tensile load of 3600 lbs (1633 kg) if they automatically limit free fall distance to 2 ft (61 cm).

9.11.4.2 Sustain a minimum tensile load of 5000 lbs (2268 kg) (includes ripstitch, tearing, and deforming lanyards).

9.11.5 Anchorages shall be:

9.11.5.1 Secured at a level not lower than the user’s waistline;


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9.11.5.2 Designed, installed and used under the supervision of a qualified person;

9.11.5.3 Capable of supporting twice the weight expected to be imposed on it; and

9.11.5.4 Independent of any anchorage used to support or suspend platforms

10 FALL RESCUE

10.1 Rescue procedures shall be established whenever employees are working at an elevated height.

10.2 Procedures should ensure that employees suspended in fall arrest systems are promptly rescued to prevent further suspension-related injury.

10.3 Rescue procedures shall identify rescue personnel, ladders or other rescue equipment that is required to conduct rescues.

10.4 Falls shall be immediately reported to the Project Manager or Building Manager and shall be investigated to prevent reoccurrences.

11 SAFETY MONITORING SYSTEMS

Tetra Pak Inc. employees shall not use safety monitoring or buddy systems in place of fall protection systems, fall arrest systems, or body position systems.

12 SAFETY NET SYSTEMS

Tetra Pak Inc. employees shall not use safety net systems in place of fall protection systems, fall arrest systems, or body position systems.

13 MOBILE ELEVATED WORKING PLATFORMS

Mobile elevated working platforms (MEWPS) must be:

13.1 Operated by trained and competent people.

13.2 Appropriate for the site ground conditions.

13.3 Marked with the rated lifting capacity.

13.4 Have an annual inspection certificate displayed.

13.5 Used on level and firm ground.

13.6 Used where they cannot become a hazard to others.

13.7 Shall not be positioned within 10 ft (3 m) of a powered overhead line, plus an additional 4 in (10 cm) for every 1 kV (kilovolt) above 50 kV.

13.8 MEWPS operators shall:

13.8.1 Visually inspect the MEWPS prior to use.

13.8.2 Never over-reach or climb over the rails of the MEWP platform.


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13.8.3 Climb on the edge of the basket or use planks, ladders or other devices for a work position.

13.8.4 Remove the guardrail or leave the gate open during use.

13.8.5 Move the MEWPS while the work platform is elevated.

13.9 Personal fall protection inside of MEWPS:

13.9.1 Shall be required when working inside of any vehicle-mounted elevating and rotating aerial device and boom-supported elevating work platforms.

13.9.2 Shall be required only if any component of the guardrail is missing when working inside of manually-propelled elevated aerial platforms and self-propelled elevating work platforms (scissors lifts).

13.9.3 Shall consist of:

13.9.3.1 Full body harness.

13.9.3.2 Fall restraint lanyard or self-retracting lanyard.

13.9.3.3 Anchorage inside of the working platform.

13.9.4 Guardrails or guardrail systems shall not be used as an anchorage point unless they have been specifically designed to do so by the manufacturer.

13.10 Forklift platforms must:

13.10.1 Be approved for use by the manufacturer of the forklift with which it will be used.

13.10.2 Be specifically designed to for its use as a forklift elevated work platform.

13.10.3 Include guardrail systems that meet the requirements of this procedure.

13.10.4 Only have gates that open inwards and that are installed with a spring loaded latch.

13.10.5 Be fitted with a 6.6 ft (2 m) back guard that sufficiently prevents contact with the lifting mechanism.

13.10.6 Be operated with the tilt facility locked out or made inoperable.

13.10.7 Be used with a full harness and fall restraint or self-retracting lanyard.

13.10.8 Have operating instructions available.

13.10.9 Have the safe working load displayed in a prominent position.

13.10.10 Have the platform secured to the forks in such a way that it cannot slide, tilt or be displaced.

13.10.11 Be used by a competent operator.

13.10.12 Only used while an operator is at the controls of the forklift or there is an independent means of access to and egress from the platform.

13.11 Crane lift platforms:

13.11.1 Crane Lift Platforms may be used when there is no other practical and suitable method available.

13.11.2 The crane operator and the person on the platform must be in direct communication at all times, whether by line of sight or telecommunications.


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14 TRAINING

14.1 All employees who may be exposed to fall hazards are required to receive training on how to recognize such hazards, and how to minimize their exposure to them.

14.2 Employees shall receive training upon initial assignment to work at elevated heights.

14.3 Training records shall be maintained by Occupational Safety & Health officer, and shall include:

14.3.1 Training materials.

14.3.2 Who was trained and dates of training.

14.3.3 Certification of training provider.

14.4 Training for Tetra Pak Inc. employees working at elevated heights shall cover the following topics:

14.4.1 Nature of fall hazards employees may be exposed to.

14.4.2 Correct procedures for erecting, maintaining, disassembling and inspecting fall protection systems.

14.4.3 Use and operation of controlled access zone, guardrail, personal fall arrest, safety net, warning line and safety monitoring systems.

14.4.4 Correct procedures for equipment and materials handling, and storage and erection of overhead protection.

14.4.5 Tetra Pak Inc. requirements for reporting incidents and near misses.

14.5 Additional training shall be provided on an annual basis, or as needed when:

14.5.1 There are deficiencies in training.

14.5.2 Work place changes.

14.5.3 Fall protection systems or equipment changes that render previous training obsolete.

14.5.4 Employees have demonstrated a lack of knowledge.

15 CONTRACTORS

15.1 Contractors are responsible for complying with the requirements of this procedure.

15.2 Tetra Pak Inc. employees who hire contractors are responsible for ensuring contractors comply with this procedure.

15.3 Tetra Pak Inc. Site Responsible persons are responsible for ensuring that contractors comply with this procedure when working at customer sites.

16 Appendicies

16.1 Appendix A: Working at Heights Pre-Job Plan

16.2 Appendix B: Personal Fall Protection Inspection Form


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Appendix A: Working at Heights Pre-Job Plan

LOCATION ISSUE DATE TIME

ROOM EXPIRATION DATE TIME

REASON FOR WORKING AT HEIGHT

POTENTIAL HAZARDS

ELIMINATION OR CONTROL MEASURES

AUTHORIZED FOR WORKING AT HEIGHT TO CONTINUE

Action must be authorized by Site Supervisor

QUALIFIED WORKING AT HEIGHT PARTICIPANTS RESCUE PROCEDURE:

QUALIFIED PERSON: Equipment Required: _________________________________________________________________________ Rescue Personnel Onsite (list): ________________________________________________________________________ Emergency Services Contact (Identity and Number): _________________________________________________________________________ _________________________________________________________________________

COMPETENT PERSPON:

ATTENDANT:

ATTENDANT:

PARTICIPANT:

PARTICIPANT:

PRE-WORK CHECKLIST (Initial all spaces. Use N/A if not applicable)

CHECK CONDITION OF HARNESSES, LANDS AND ROPES

CHECK CONDITION OF EQUIPMENT PRIOR TO USE

AREA TO BE CHECKED FOR HAZARDS APPLICABLE TO THE JOB FUNCTION

SPACE TEMPERATURE MUST BE LESS THAN 120 F. TEMP READING = (F)

PRE-WORK MEETING - ALL PARTICIPANTS (INCLUDING CONTRACTORS)BRIEFED ON HAZARDS, PROGRAM RULES

VERIFIED PARTICIPANTS TRAINED AND QUALIFIED (INCLUDING CONTRACTORS)

MECHANICAL EQUIPMENT DISCONNECTED AND LOCKED OUT

PIPING DISCONNECTED OR BLOCKED AND BLED

ELECTRICAL EQUIPMENT LOCKED OUT AND VERIFIED

VENTILATION SYSTEM OPERATIONAL (METHOD)

PPE PROVIDED AS REQUIRED

MECHANICAL RETRIEVAL DEVICE SET UP FOR VERTICAL ENTRY 5 FEET OR MORE

RESCUE EQUIPMENT INSPECTED AND READY

PROPER AND ADEQUATE LIGHTING PROVIDED

COMMUNICATION METHODS: PARTICIPANT TO ATTENDANT -

STAY CLEAR OF EDGES (MIN CLEARENCE 6') RESTRAINING EQUIPMENT REQUIRED IN ALL OTHER CONDITIONS

COMPLETE INFORMATION BOARD IN WORKSHOP BEFORE ENTERING ROOF AREA

CARRY COMMUNICATION DEVICE AT ALL TIMES WHILST ON THE ROOF

ANY OTHER PERMITS ISSUED

RESCUE EQUIPMENT AND PERSONNEL READILY AVAILABLE AND EMERGENCY SERVICES ON STANDBY

COMMENTS:

PRE-WORK PROCEDURES AND SITE INSPECTION HAVE BEEN COMPLETED

CONDITIONS ARE ACCEPTABLE FOR WORK TO BEGIN

Supervisor's Signature: _______________________________________________ Date: ____________________________________

Appendix B: Personal Fall Protection Equipment Inspection Checklist

EQUIPMENT TYPE (HARNESS, FALL ARRESTOR, SELF-RETRACTING LANYARD, LIFELINE):

MODEL NO.:

SERIAL NO.:

DATE OF MANUFACTURE: DATE OF INSPECTION:

INSPECTOR: Body

Harness Fall

Arrestor

Self- Retracting Lanyard Lifeline (P)ass, (F)ail, or N/A

Webbing X = Required Inspection Point

Shoulder Straps X

Chest & Back Straps X

Waist Straps X

Leg Straps X

Webbing Length X

Termination (Stitch or Splice or Swage) X X

Broken, Missing, or Loose Stitching X X

Free from :Cuts, Burns, Holes, Deterioration and Paint Damage

X X

Stitching X = Required Inspection Point

Shoulder Straps X

Chest & Back Straps X

Waist Straps X

Leg Straps X

Lifeline X = Required Inspection Point

Termination X

Free from: Cuts, Fraying, Excessive Wear X X

Impact Indicator X

Free from Kinks, Caging, Broken Strands or Fibers and Melting

X

Cable Separating X

Entire Length Retracts Smoothly X

Reserve Lifeline Deployed X

D-Rings X = Required Inspection Point

Back D-Ring X

Waist D-Ring (if applicable) X

Sternum D-Ring (if applicable) X

Buckles

Shoulder Adjustment X

Chest & Back Buckle Hardware X

Chest Carabineer X

Leg Straps X

Shock Pack (if applicable) X = Required Inspection Point

Integrity of Cover X X X

Signs of Deployment X X

Signs of Damage X X X

Impact Indicator X

Lanyard or Webbing Length X

Connectors & D-Rings X = Required Inspection Point

Function of Connector Locking Gate X X

Function of Connector Gate & Lock X

Body of Hook or Rivets X X X

Free from: Corrosion, Pitting and Nicks X X X

Labels & Markings X = Required Inspection Point

Appropriate ANSI Markings X X X X

Legible Label X X X X

Last Manufacturer Certification X

COMMENTS:

Documents

WORKING AT HEIGHTS POLICY policies... · Procedure ID: Working at Heights Policy Johnny Srader Created Date: 03/17/2015, updated: 04/24/2015 3 1 PURPOSE Working at heights is dangerous,