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Form-0053R - Site Specific Fall Protection Plan

SITESPECIFICFALLPROTECTIONPLANFORM-0053R 1 of 6 Dominion Masonry THIS plan IS Specific TO:_____PROJECT & THIS plan IS Specific TO THE FOLLOWING AREA(S) ON site :Parkade level:Typical level:Other:_____Between G/ THIS plan IS APPLICABLE TO THE FOLLOWING HEIGHT(S) ON site :Below 10 feetAbove 10 feet & below 25 feetAbove 25 feetAll PERSON COMPLETING THIS fall Protection SAFETY NOTES:_____2 COMPANY SAFETY POLICY WILL: Adhere to the WorkSafeBC Regulation as well as any local Government health and safetyregulations. Provide the safest possible conditions for the above procedure. Ensure all employees are properly trained in regards to the fall Protection plan .

site specific fall protection plan form-0053r 1 of 6 dominion masonry ltd. 1 this plan is specific to: _____ project & address

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  Fall, Protection, Site, Plan, Specific, Site specific fall protection plan

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