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Fall Arrest Rescue Guide

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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victor
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157 views1 page

Fall Arrest Rescue Guide

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.

Uploaded by

victor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • Fall Arrest Rescue Plan

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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