<p> Fall Arrest Rescue Plan</p><p>Date: ______Job Description: ______Location: ______</p><p>Contacts Rescue Equipment Critical Rescue Factors</p><p>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 ______</p><p>Check for Yes Comment □ Have alternatives to using fall arrest equipment been considered?</p><p>□ Has rescue equipment been inspected and found in good shape?</p><p>□ Is equipment adequate for the rescue plan (weight ratings, length, connection type, etc.)? □ Have communication devices been identified, located, & tested?</p><p>□ Are all rescuers familiar with the use of the rescue equipment?</p><p>□ If working over water, is there a boat available?</p><p>Pre Work Tasks: Response Procedure: 1) 1) Notify Emergency Contact. </p><p>2) 2) Make medical assessment of person. </p><p>3) 3) </p><p>4) 4) </p><p>5) 5) </p><p>6) 6) </p>