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I am in good physical condition and have no physical problems that may be aggravated by a fall. Initial if Agreed Comments / Questions With my signature I acknowledge that I fully understand and agree to comply with the above directives and instructions EMPLOYEE SIGNATURE SUPERVISOR SIGNATURE TRAINER SIGNATURE FORM-0012 Dominion Masonry Ltd. FALL PROTECTION TRAINING RECORD Project Training Date First Name Last Name Trainer Name Definition AUT Local Government WorkSafeBC and Environment Authority. GENERAL REQUIREMENTS 1. All applicable regulations have been explained to me. 2. I understand the applicable regulations. 3. Fall Arrest Fall Restraint and Positioning system have been explained to me. requirements. ANCHORAGES 5. Fall Protection Anchorages various have been explained to me. I understand and have demonstrated proficiency of the following a* 2250 kg. Or 5000 lbs. / person anchorages. b. Choice inspection and use of my various fall protection anchorages. c* The difference between fixed and prop line. SAFETY LINES LANYARD ROPE GRABS 6. Safety line use lanyard use rope grab use and roll out prevent have been explained to me. d. Roll out prevention* e. The figure 8 knot. f* Safety line strength reductions and various tie offs g. Potential free falls swing hazards and government restrictions. SAFETY HARNESSES AND SAFETY BELTS 7. Full body harnesses safety belt selection proper fitting and proper use have been explained to me. 8. FALL PROTECTION TRAINING RECORD Project Training Date First Name Last Name Trainer Name Definition AUT Local Government WorkSafeBC and Environment Authority. GENERAL REQUIREMENTS 1. All applicable regulations have been explained to me. 2. I understand the applicable regulations. GENERAL REQUIREMENTS 1. All applicable regulations have been explained to me. 2. I understand the applicable regulations. 3. Fall Arrest Fall Restraint and Positioning system have been explained to me. requirements. ANCHORAGES 5. 3. Fall Arrest Fall Restraint and Positioning system have been explained to me. requirements. ANCHORAGES 5. Fall Protection Anchorages various have been explained to me. I understand and have demonstrated proficiency of the following a* 2250 kg. Fall Protection Anchorages various have been explained to me. I understand and have demonstrated proficiency of the following a* 2250 kg. Or 5000 lbs. / person anchorages. b. Choice inspection and use of my various fall protection anchorages. Or 5000 lbs. / person anchorages. b. Choice inspection and use of my various fall protection anchorages. c* The difference between fixed and prop line. SAFETY LINES LANYARD ROPE GRABS 6. Safety line use lanyard use rope grab use and roll out prevent have been explained to me. c* The difference between fixed and prop line. SAFETY LINES LANYARD ROPE GRABS 6. Safety line use lanyard use rope grab use and roll out prevent have been explained to me. d. Roll out prevention* e. The figure 8 knot. f* Safety line strength reductions and various tie offs g. .

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Keywords relevant to Dominion Masonry Form-0012

  • lanyard
  • retraining
  • reductions
  • Masonry
  • offs
  • harnesses
  • applicable
  • Kg
  • proficiency
  • directives
  • inspections
  • Hazards
  • prevention
  • positioning
  • Dominion
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