Sample appendix for report 2026

1. Click ‘Get Form’ to open the Sample Fall Hazard Survey Report in the editor.
2. Begin by filling in the general information section. Enter the facility/activity name, building/facility number, department, work area, and the name of the person conducting the survey.
3. In the survey data section, specify the fall hazard zone and type, work location, and personnel interviewed. Ensure you include applicable regulations and standards relevant to your survey.
4. Detail how close personnel are to fall hazards and note any obstructions. Provide suggested anchorage locations if hazards cannot be eliminated.
5. Assess exposure by indicating the number of personnel exposed, frequency and duration of exposure, and potential severity of a fall. Mark any obstructions in the potential fall path.
6. Identify any hazards present in your environment such as hot objects or moving equipment. Use checkboxes for clarity.
7. Select two suggested fall protection solutions from the list provided. If applicable, fill out additional details regarding fall arrest systems.
8. Finally, add any additional information needed and include drawings or sketches if necessary before saving your completed form.

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