Fall Protection Work Plan (F417-272-000). Fall Protection Work Plan (F417-272-000) 2026

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  1. Click ‘Get Form’ to open the Fall Protection Work Plan in the editor.
  2. Begin by entering your Company Name, Date, and Site Address at the top of the form. If you need more space, feel free to use the back of the sheet.
  3. Identify all fall hazards that are 10 feet or more above ground level. Check all applicable boxes such as Open-sided floors, Decks/Balconies, and Roof openings.
  4. In the section for Methods of Fall Protection, select from options like Guardrail system or Personal fall arrest system. Ensure you specify if any Low Slope Only methods are being used.
  5. Describe procedures for assembly, maintenance, inspection, and disassembly of your chosen fall protection systems in the designated area.
  6. List employees who have received training on this specific work plan by entering their names and dates in the provided fields.
  7. Finally, ensure that a competent person signs off on the plan by entering their name, title, and date at the bottom of the form.

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