墜落防護檢查表fallprotectionchecklist

1、O BSERVATION N OTESWORKPLACE SAFETY INSPECTION REPORTFall Preve nti on and Protectio n墜落預(yù)防與防護Document IDPagePAGE 1 of 3A B Y/N Inspection PointVisual CriteriaFall Prevention : If location has any openings 12” x 12 ” or greater, and work within 6如果高空作業(yè)平臺0.1平米或更大，且高度大于1.82米請按以下標準完成檢查。 of the ope ning,

2、 complete this seion.001002003004Are all holes or ope nings in floors covered or guarded with a proper guardrail system?是否樓層的空洞和開口都有防護欄？Criteria: Top rail height 39-42” , mid rail height 19 -21” , toe boardheight 4 ” . Rails must be able to support 200 lb. push. No more than 1/2 ” betweentoe board a

3、nd floor.防護欄頂頂部橫桿高100-107 厘米，中間橫桿48-53厘米，掃地桿高度10厘米，欄桿側(cè)推承受力不小于200磅，地面與擋腳板之間縫隙不超過1.25厘米Are platforms and wall ope nings guarded with a proper guardrail system if over 6 vertical drop落差超過183厘米的高處平臺或墻壁開孔是否有和合格的防護系統(tǒng)？Criteria: Top rail height 39-42” , mid rail height 19-21” , toe boardheight 4 ” . Rails m

4、ust be able to support 200 lb. push.防護欄頂頂部橫桿高100-107厘米，中間橫桿 48-53厘米，掃地桿高度10厘米,欄桿側(cè)推承受力不小于200磅Do stairways have proper raili ngs?樓梯口是否有防護欄桿？Criteria: Top rail height 39-42” , mid rail height 19 -21” , ha nd railheight 34- 38” from leading edge of tread (up to 42” if top rail is alsohand rail). Rails m

5、ust be able to support 200 lb. push. ( no te: toprail may serve as the ha nd rail)樓梯護欄頂橫桿 100-107 厘米，中間橫桿48-53厘米，從扶手桿到臺階上平面為86-96厘米(如果頂橫桿作為扶手桿最高為 107厘米)欄桿側(cè)推承受力不小于 200磅(注意： 頂橫桿可作為扶手)Are floors or platforms clea n, dry, and free of any tripp ing hazards, such as exte nsion cords, tools, and small part

6、s?樓梯或通道是否清潔、干燥，有沒有電纜、工具、工作臺等絆倒危險物品？Criteria: All dust, chips, oil, and other substa nces are clea ned up thoroughly, no tools, electrical cords, or parts are on the floor where some one could step and possibly slip on them. No items are placed on stair treads.所有灰塵、雜物、油污和其他物品徹底清理，沒有工 具、電線，或者其他造成人員滑到物

7、品，不準放置于通道或樓梯上。Column A: Priority Code. Column B: Location CodeY/N Column:Enter Y if observations conform to criteria, N if non conforming. List specific findings in observation notes. Enter NA if item doesnt apply.Workplace safety inspection reportFall Preve nti on and Protectio n墜落預(yù)防與防護Document IDf

8、pPagepage 2 of 3Fall Protection: If location has any unguarded_ openings 12 ” x 12 ” or greater, and work within 6005Are all employees work ing withi n 6 of an un guarded ope ningwearing a full body safety harness?所有在 1.83 米以上開放式空間作業(yè)必須的工人是否配穿全身安全帶？Criteria:Harn ess is put on and adjusted with all st

9、raps closefitti ng, and all loose ends rolled or tied up.全身安全帶使用和調(diào)節(jié)需要使肩帶緊貼全身，將軀干上下都進行捆綁。006Is a shock absorb ing Ian yard secured from the users back torope grab or an chor strap?安全帶背后是否有帶緩沖器的安全細繩自鎖鉤或安全帶繩？Criteria: Rope grabs are used with vertical lifelines. Lifeline rope and an chor straps are att

10、ached to an approved structural support. 自鎖鉤用于連接垂直安全細繩，安全細繩和安全掛繩需連接在合格 的結(jié)構(gòu)上。007008Is the lifeli ne or an chor strap attached to a beam or crosshead capable of support ing 5000 pou nds?安全細繩和安全掛繩上端是否掛在能承載超過 5000磅的橫梁上？Criteria: Lifeli ne rope and an chor straps are attached to an approved structural su

11、pport that is safe for use with fall arrest devices.安全細繩和安全帶懸掛在牢固的結(jié)構(gòu)上是作為防墜安全裝 置Is the an chor strap or lifeli ne secured above the work level? 安全掛繩和安全細繩是懸掛在作業(yè)水平之上？Criteria: Lifeline rope, rope grabs, or anchor straps must be above and cen tered over the worker to be most effective.安全纟田繩、保險鉤、安全繩必須全部懸

12、掛位置高于作業(yè)者安全帶接點才有 效。Anchor StrapLanyard is attached to ring on back.All excess strap is rolled up and secured.Hamess is snug sround body and legs.Lanyard HamessBeam milst be capable of supporting 5000 lbs.s sectio of the ope ning, complete thWORKPLACE SAFETY INSPECTION REPORTFall Preve nti on and Prot

13、ectio n墜落預(yù)防與防護Document IDfpPagepage 3 of 3A B Y/N Inspection PointVisual CriteriaFall Protection: If location has any unguarded_ openings 12 ” x 12 ” or greater, and work within 6009In terview questi on: Can the harn ess user expla in and dem on strate how and where to place the an chor strap, and h

14、ow to connect to the harness?訪問：安全帶使用者能否解釋和演示安全掛繩懸掛和安全帶連 接？Criteria:1) Don the harn ess before approach ing the fall exposure.2) Double-check all buckles and secure any hanging straps ortabs .仔細檢查所有帶扣和肩帶或接頭3) Clip the shock-absorb ing lanyard to the harn ess.將安全和減震掛繩卡好。4) Wrap the an chor strap arou

15、 nd a suitable beam or cross-headoverhead, but not out over the fall hazard.安全掛繩要懸掛在一個合適的橫梁或十字梁上，但不能造成人員絆倒而摔落5) Grasp the an chor D ring securely with one hand, ope n the lan yard clip with the other hand, and snap the lan yard to theanchor strap D ring.只手抓住安全掛繩的D掛環(huán)，另外一只手打開安全細繩卡鉤，將掛鉤卡入安全掛繩 D環(huán)6) Slid

16、e the anchor strap to reposition if necessary. Be sure to pad or protect any sharp edges to avoid damagi ng the an chor strap.安全掛繩需要換位時，不許拖拽和接觸鋒利邊緣，需要加 裝保護墊進行防損保護*貳、Anchor strap* wrapped aroundbeamShock-absorbi ng lanyard connected to D ring on harness and anchor strapHarness donned properly, with D

17、 ring high and between shoulder blades010In terview questi on: What should be done if an employee falls and canget back up (self-rescue)?訪問：如果發(fā)生墜落摔傷的傷者不能行動該如何搶救(自救)？Criteria: Co-workers are not trained or equipped to perform fall-arrest rescues. If an employee canretiir n to a safe locati on, call for helpimmediately. Never attempt to disc o