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  • Fall Arrest Rescue Plan

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    victor
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    This document outlines a fall arrest rescue plan for a job site. It lists contacts for rescuers and emergency personnel, required rescue equipment, critical rescue factors like anchor points and landing areas, potential rescue obstructions or hazards, and a checklist to ensure the rescue plan and equipment are adequate. Pre-work tasks and response procedures are left blank to be filled in specific to the job.

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    This document outlines a fall arrest rescue plan for a job site. It lists contacts for rescuers and emergency personnel, required rescue equipment, critical rescue factors like anchor points and landing areas, potential rescue obstructions or hazards, and a checklist to ensure the rescue plan and equipment are adequate. Pre-work tasks and response procedures are left blank to be filled in specific to the job.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    73 views1 page

    Fall Arrest Rescue Plan

    Uploaded by

    victor
    This document outlines a fall arrest rescue plan for a job site. It lists contacts for rescuers and emergency personnel, required rescue equipment, critical rescue factors like anchor points and landing areas, potential rescue obstructions or hazards, and a checklist to ensure the rescue plan and equipment are adequate. Pre-work tasks and response procedures are left blank to be filled in specific to the job.

    Copyright:

    © All Rights Reserved
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    of 1

    Fall Arrest Rescue Plan

    Date: ________________________________ Job Description: __________________________________


    _________________________________________________
    Location: _____________________________ _________________________________________________
    ______________________________________ _________________________________________________

    Contacts Rescue Equipment Critical Rescue Factors

    Rescuer(s) ___________________ □ Ladder □ Block & Tackle Anchor Point__________________


    ____________________________ □ Rescue Pole □ First Aid Kit ____________________________
    ____________________________
    Competent
    □ Rescue Rope □ Life Ring
    Person ______________________ □ Spider □ Work Vest Landing Area _________________
    □ Scaffold □ (Cutting Device) ____________________________
    Emergency □ Stokes Litter ____________________________
    Contact _____________________ □ Alternative Lifting & Lowering Device
    Rescue Obstructions/Hazards:
    Method of Contact: ____________________________
    □ PA □ Verbal/Face to face Location of Equipment: ____________________________
    □ Radio Channel: ______________ ____________________________
    □ Job Site □ Gang Box
    ____________________________
    □ Phone Number: ______________ □ Tool House □ ____________ ____________________________
    □ Other _____________________

    Check for Yes Comment


    □ Have alternatives to using fall arrest equipment been considered?

    □ Has rescue equipment been inspected and found in good shape?

    □ Is equipment adequate for the rescue plan (weight ratings, length,


    connection type, etc.)?
    □ Have communication devices been identified, located, & tested?

    □ Are all rescuers familiar with the use of the rescue equipment?

    □ If working over water, is there a boat available?


    Pre Work Tasks: Response Procedure:
    1) 1) Notify Emergency Contact.

    2) 2) Make medical assessment of person.

    3) 3)

    4) 4)

    5) 5)

    6) 6)

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