Fall Protection Plan Template
Document Control Company: [COMPANY NAME] · Logo: [COMPANY LOGO] · Address: [COMPANY ADDRESS] Prepared by: [RESPONSIBLE PERSON] · Date: [DATE] · Approved by (signature): _________________
| Field | Value |
|---|---|
| Category | Fall Protection |
| Recommended Industry | All |
| Document Type | Plan |
| Access Level | Pro |
| Last Reviewed | 2026-06-29 |
| Last Updated | 2026-06-29 |
How to Use This Template
Customize this template to your company and worksite, have a qualified person and leadership review it, train affected employees, and implement it. Review and update it on a set schedule or whenever conditions change.
Plan
Fall Protection Plan for [COMPANY NAME] — [PROJECT/SITE]. Customize for the actual site and tasks.
1. Scope & Responsibilities
- Applies to work where fall hazards exist. Competent person: [NAME / PHONE].
2. Fall Hazard Identification
| Location / Task | Fall Hazard | Height | Control Selected |
|---|---|---|---|
| [____] | [edge/hole/leading edge] | [__ ft] | [guardrail/PFAS/net] |
| [____] | |||
| [____] |