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ANSI Z359.2 Requirements Interpretation

Document	Viewable Examples	Printable Examples	Description
Fall Hazard Survey	Fall Hazard Survey Example	Fall Hazard Survey Example	An example for conducting a general Fall Hazard Survey. Click here to edit the example.
Job Safety Analysis	Job Safety Analysis Example	Job Safety Analysis Example	An example of a Job Safety Analysis form. Click here edit the example.
Fall Protection Policy	Fall Protection Policy Example	Fall Protection Policy Example	An example of a Fall Prevention and Protection policy statement that can be modified for a particular company. Click here to edit the example.
Fall Hazard Assessment	Fall Hazard Assessment Example	Fall Hazard Assessment Example	An example for conducting an evaluation of identified Fall Hazards.  This assessment is then analyzed and prioritized using the Risk Definitions. Click here to edit the example.
Risk Ratings and Definitions	Risk Ratings and Definitions Example	Risk Ratings and Definitions Example	An example definition of Severity and Likelihood, and the resulting Risk Rating. Fall hazards are analyzed with the risk rating after they have been identified with the Fall Hazard Risk Assessment. Click here to edit the example.
Workplace Fall Hazard Recognition Program	Workplace Fall Hazard Recognition Program Example	Workplace Fall Hazard Recognition Program Example	An example of a Workplace Fall Hazard Recognition Program. Click here to edit the example.
Training and Qualification Matrix	Training and Qualification Example	Training and Qualification Example	An example summary matrix of the training and qualification requirements for Fall Protection roles. Click here to edit the example.
Fall Protection Program Evaluation	Fall Protection Program Evaluation Example	Fall Protection Program Evaluation Example	An example of a Fall Protection Program Evaluation. Click here to edit the example.
New Facility Checklist	New Facility Checklist	New Facility Checklist	An example checklist of fall protection items to consider when building a new facility or modifying an existing facility. Click here to edit the example.

MSA-FP is providing these templates strictly as starting points and as examples. They are based on an interpretation of the standards and as such are a 'work in progress'.