Site Specific Fall Protection Plan version 3

{
  "label": "Disclaimer",
  "required": false,
  "client_id": "client_description_1752852064396_2suc3",
  "text_color": "warning",
  "text_style": "normal",
  "description_text": "This QRsafety.com Smart Form is a series of questions that should be answered prior to working at heights.  The questions may not identify every hazard for your task and location.  The form is to be completed by a qualified person that can identify all hazards and add any that are missing.\nThis Smart Form has fields that will be hidden if they are not relevant to the work, as determined by your hazard assessment answers.\n The completed Site Specific Fall Protection plan  may be a part of the total solution however is not to be the only part of it. Users use it at their own risk."
}

{
  "label": "Date",
  "required": false,
  "client_id": "client_date_1752788649984_ninyf"
}

{
  "label": "Creators contact info - add additional rows if needed",
  "columns": [
    {
      "name": "This plan creators name",
      "column_type": "text_field"
    },
    {
      "name": "Email",
      "column_type": "text_field"
    },
    {
      "name": "Phone",
      "column_type": "number"
    }
  ],
  "required": false,
  "client_id": "client_tables_1752788711675_3e0xk",
  "default_rows": 1,
  "allow_user_row_addition": true
}

{
  "label": "Location",
  "columns": [
    {
      "name": "Project/ Building name",
      "column_type": "text_field"
    },
    {
      "name": "Prime Contactor/ Owner",
      "column_type": "text_field"
    }
  ],
  "required": false,
  "client_id": "client_tables_1752788842989_pm8jp",
  "default_rows": 1,
  "allow_user_row_addition": true
}

{
  "label": "Location cont.",
  "columns": [
    {
      "name": "Address of work",
      "column_type": "text_field"
    }
  ],
  "required": false,
  "client_id": "client_tables_1752788917044_thsxu",
  "default_rows": 1,
  "allow_user_row_addition": true
}

{
  "label": "Supervisor info - add additional rows if needed",
  "columns": [
    {
      "name": "Supervisor(s) name - add rows for each",
      "column_type": "text_field"
    },
    {
      "name": "Supervisor phone #",
      "column_type": "number"
    }
  ],
  "required": false,
  "client_id": "client_tables_1752789452304_vkhb7",
  "default_rows": 1,
  "allow_user_row_addition": true
}

{
  "rows": 3,
  "label": "What type of structure/ work area? ",
  "required": false,
  "client_id": "client_text_area_1752789562851_6s89a",
  "max_length": "",
  "min_length": "",
  "placeholder": ""
}

{
  "rows": 3,
  "label": "What location is the work taking place (level/ side etc.)?",
  "required": false,
  "client_id": "client_text_area_1752789566672_b15wp",
  "max_length": "",
  "min_length": "",
  "placeholder": ""
}

{
  "rows": 3,
  "label": "What type of work (ex. window washing)?",
  "required": false,
  "client_id": "client_text_area_1752789568483_go0nv",
  "max_length": "",
  "min_length": "",
  "placeholder": ""
}

{
  "label": "Definition Hazard",
  "required": false,
  "client_id": "client_description_1752854454949_ws8dv",
  "text_color": "success",
  "text_style": "heading",
  "description_text": "Anything that could harm a worker or the public.  Think of your work and location - what could happen to hurt workers or public"
}

{
  "label": "Definition Control",
  "required": false,
  "client_id": "client_description_1752852087747_3fsh4",
  "text_color": "success",
  "text_style": "heading",
  "description_text": "Steps/ actions taken to eliminate or decrease the risk of the hazards identified above.  NOTE - best practice and regulations require controls to be chosen following a hierarchy with elimination being the first."
}

{
  "label": "Can a worker fall to lower surface from leading edges, roof, shafts, openings, doorways etc..?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456098982_bdv8o"
}

{
  "label": "Is it possible to drop tools/ materials or have workers/ public enter your work area and be exposed to a fall hazard?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456103389_rg94i",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "13"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "14"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "50"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "51"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757523926854_wpzbp",
      "name": "Tool tethers",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523926854_h68zo",
      "name": "Materials stored away from leading edge and fall hazards",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523926854_tn1kz",
      "name": "Materials secured to structure",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523926854_knlve",
      "name": "Small materials stored in buckets",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523926854_1tqkr",
      "name": "Debris netting",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523994478_2lsym",
      "name": "Exclusion zones below &/or at access",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523994502_tjmsp",
      "name": "Signage and locked doors (when possible) at all entry points to exclusion zone",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757523994531_67iea",
      "name": "Coordinate with Prime contractor",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757523994595_vvw5t",
      "name": "Spotter(s)",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757627311773_c0hnl",
      "name": "Hard hat tether",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757627311829_xuvoj",
      "name": "Mobile phone/ radio tether",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757627311899_zcvu3",
      "name": "Rope/ cable to secure large items",
      "checked": false,
      "required": false
    }
  ],
  "label": "Choose the controls for dropped objects and access to work area",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757523901128_azj3s",
  "show_as_shopping_cart": true
}

{
  "rows": 3,
  "label": "Other tool/ material controls",
  "required": false,
  "client_id": "client_text_area_1757525234226_xguqg",
  "max_length": "",
  "min_length": "",
  "placeholder": "Explain any other controls you have for dropped tools/ materials"
}

{
  "label": "Are there power lines near your work area?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757623534864_pukcw",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "16"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "17"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Warning LOA",
  "required": false,
  "client_id": "client_description_1757527645109_kfc6b",
  "text_color": "warning",
  "text_style": "bold",
  "description_text": "When there is potential for you to enter the limit of approach during the arresting of a fall and when there is potential for any of your tools or materials to enter the LOA - you will need an additional procedure created and followed."
}

{
  "label": "Confirm Voltage and controls",
  "options": [
    {
      "label": "Limit of approach will be confirmed using 30M33 documents",
      "value": "limit_of_approach_will_be_confirmed_using_30m33_documents"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757525537336_3ytlz",
  "conditions": [

  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Is there a fall hazard during access to the work area? - example: needing to climb a roof to connect to anchor",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456642490_3g9q1",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "19"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "How will you control the fall hazard that is present while you access the work area?",
  "options": [
    {
      "label": "A procedure for 1st person up will be used",
      "value": "a_procedure_for_1st_person_up_will_be_used"
    },
    {
      "label": "Personal fall protection system will be connected to prior to access",
      "value": "personal_fall_protection_system_will_be_connected_to_prior_to_access"
    },
    {
      "label": "A tag line will be used to allow connection from lower surface",
      "value": "a_tag_line_will_be_used_to_allow_connection_from_lower_surface"
    },
    {
      "label": "Other",
      "value": "other"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456630684_zx1tj"
}

{
  "label": "Are there floor openings that you could fall in?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456654144_19btn",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "21"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "How will you control the floor/ roof openings?",
  "options": [
    {
      "label": "A suitable cover will be secured to floor opening",
      "value": "a_suitable_cover_will_be_secured_to_floor_opening"
    },
    {
      "label": "Guardrails will be added around the floor opening",
      "value": "guardrails_will_be_added_around_the_floor_opening"
    },
    {
      "label": "Barrier tape will be added around floor opening with a buffer zone",
      "value": "barrier_tape_will_be_added_around_floor_opening_with_a_buffer_zone"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757525517733_1rooy"
}

{
  "label": "Is the work surface a steep slope (8/12 +)?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456657822_3lbxg",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "23"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "How will you control the steep slope hazard?",
  "options": [
    {
      "label": "Use roof strapping",
      "value": "use_roof_strapping"
    },
    {
      "label": "Use toe boards",
      "value": "use_toe_boards"
    },
    {
      "label": "Use work positing line and fall protection line",
      "value": "use_work_positing_line_and_fall_protection_line"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757525524879_v7p7o"
}

{
  "label": "Is the lower surface less than 18’ below anchor point?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757456661392_9l1v8",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "25"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "How will you control the low clearance?",
  "options": [
    {
      "label": "Personal fall protection system will be restraint only",
      "value": "personal_fall_protection_system_will_be_restraint_only"
    },
    {
      "label": "Fall arrest system will be a retractable device",
      "value": "fall_arrest_system_will_be_a_retractable_device"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757525532585_uwa02"
}

{
  "rows": 3,
  "label": "Are there any other hazards?",
  "required": false,
  "client_id": "client_text_area_1757457160802_e6oj2",
  "max_length": "",
  "min_length": "",
  "placeholder": "explain if there is"
}

{
  "label": "Are you working from a ladder?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457588330_ncpg3",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "28"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757530242629_ncbhw",
      "name": "Pre-use inspection ladder",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757530242629_fjuwy",
      "name": "Short duration work",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757530242629_gbnx5",
      "name": "Access ladders secured",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757530242629_7lrzf",
      "name": "Tools/ materials hauled up or in bag/ pouch",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757530242629_6e3cm",
      "name": "Trained and will practice ladder safety",
      "checked": false,
      "required": true
    }
  ],
  "label": "Ladder safety confirmation - check to confirm",
  "required": false,
  "client_id": "client_safety_checklist_1757530231716_sj42j"
}

{
  "label": "Are you working from a mobile elevated work platform?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457599814_fz8jb",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "30"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757532065755_eef4e",
      "name": "Pre-use inspection of equipment and work area",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532065755_x3s0f",
      "name": "Competent operator",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532065755_avjkv",
      "name": "Fall restraint for boom lift – see site rules for scissor lift",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1759362555665_wmvra",
      "name": "If near leading edge a curb (25% of tire diameter) added",
      "checked": false,
      "required": false
    }
  ],
  "label": "Mobile elevated work platform safety confirmation - check to confirm",
  "required": false,
  "client_id": "client_safety_checklist_1757532054865_fpgsm"
}

{
  "label": "Are you working from a scaffold?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457603906_1umcz",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "32"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1758906118707_huidh",
      "name": "Pre-use inspection completed",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758906118707_b9rpd",
      "name": "All edges are controlled with guardrails (wall side up to 12” gap)",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758906118707_wlhlo",
      "name": "Erected by a competent person following manufacturers instructions",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758906118707_li4qe",
      "name": "Safe access",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758906288994_66bss",
      "name": "Engineered when required",
      "checked": false,
      "required": false
    }
  ],
  "label": "Scaffold safety confirmation - check to confirm",
  "required": false,
  "client_id": "client_safety_checklist_1758906094733_i1zpg"
}

{
  "label": "Are you working from a swing stage?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457608116_zao93",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "34"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757532294007_f7vb3",
      "name": "Workers will connect to an independent personal fall protection system prior to accessing stage",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532294007_e463b",
      "name": "Lifelines will reach within 4’ of safe lower access point",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532294007_t7hec",
      "name": "Pre-use inspection of stage",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532294007_6w1ia",
      "name": "Competent operators",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532294007_ezc52",
      "name": "If over 300' - need for engineered confirmation of meeting CSA",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532407756_3ubd1",
      "name": "Check wind forecast - 40 KPH is suggested max.",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532407788_1y76w",
      "name": "Confirm max/ load and adhere to it",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1759363103602_9jjbt",
      "name": "Roof plan",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1759363103641_1ahlc",
      "name": "Rigging plan",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1759363103673_naujj",
      "name": "Safe Job Procedure",
      "checked": false,
      "required": false
    }
  ],
  "label": "Swing stage safety confirmation - check to confrim",
  "required": false,
  "client_id": "client_safety_checklist_1757532240591_zd9aj"
}

{
  "label": "Are you working from a bosuns chair?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457611920_7966b",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "36"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757532476444_bzkyh",
      "name": "A Bosun chair workplan is available",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532476444_pnejc",
      "name": "Workers will connect to an independent personal fall protection system prior to accessing chair",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532476444_7b2fw",
      "name": "Competent operator",
      "checked": false,
      "required": true
    }
  ],
  "label": "Bosun chair safety confirmation - check to confirm",
  "required": false,
  "client_id": "client_safety_checklist_1757532249856_pa1xv"
}

{
  "label": "Are you using rope access?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457747023_sur4i",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "38"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757532605417_tjlhb",
      "name": "A rope access plan is available",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532605417_ne56g",
      "name": "Workers are certified in rope access",
      "checked": false,
      "required": true
    }
  ],
  "label": "Rope access safety confirmation - check to confirm",
  "required": false,
  "client_id": "client_safety_checklist_1757532264660_qhy0s"
}

{
  "rows": 3,
  "label": "Are there any other work platforms you are using?",
  "required": false,
  "client_id": "client_text_area_1757457627740_b9c97",
  "max_length": "",
  "min_length": "",
  "placeholder": ""
}

{
  "label": "Are you to able work in an area with guardrails controlling fall hazards? note - swing stage guardrails require a back up fall arrest system ",
  "options": [
    {
      "label": "Yes – 100% of time including access to the work area",
      "value": "yes_–_100%_of_time_including_access_to_the_work_area"
    },
    {
      "label": "Yes, I will also use other controls",
      "value": "yes,_i_will_also_use_other_controls"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457851069_713ji",
  "conditions": [
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "42"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "41"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "52"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "53"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "55"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "56"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "48"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "58"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "60"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "61"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "63"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "64"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "76"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "77"
    },
    {
      "action": "show",
      "radio_value": "yes,_i_will_also_use_other_controls",
      "default_state": "hidden",
      "target_field_index": "75"
    },
    {
      "action": "show",
      "radio_value": "yes_–_100%_of_time_including_access_to_the_work_area",
      "default_state": "hidden",
      "target_field_index": "79"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "rows": 3,
  "label": "Guardrails not 100% - why",
  "required": false,
  "client_id": "client_text_area_1758659300993_era0t",
  "max_length": "",
  "min_length": "",
  "placeholder": "Provide reason why you cannot work within guardrails 100% of the time"
}

{
  "label": "Are you able to work in fall restraint – a tight line stops you from falling over the edge?",
  "options": [
    {
      "label": "Yes – 100% of the time restraint and/ or guardrails",
      "value": "yes_–_100%_of_the_time_restraint_and/_or_guardrails"
    },
    {
      "label": "Yes, but not all the time",
      "value": "yes,_but_not_all_the_time"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457856690_2hh3g",
  "conditions": [
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_the_time_restraint_and/_or_guardrails",
      "default_state": "hidden",
      "target_field_index": "44"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_the_time_restraint_and/_or_guardrails",
      "default_state": "hidden",
      "target_field_index": "43"
    },
    {
      "action": "hide",
      "radio_value": "yes_–_100%_of_the_time_restraint_and/_or_guardrails",
      "default_state": "hidden",
      "target_field_index": "47"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "rows": 3,
  "label": "Restraint not 100% - explain why",
  "required": false,
  "client_id": "client_text_area_1758659306107_wy7fp",
  "max_length": "",
  "min_length": "",
  "placeholder": "Provide reason why you cannot work in restraint"
}

{
  "label": "Will you be working in fall arrest – a line stops you from hitting the ground?",
  "options": [
    {
      "label": "Yes – and I will use administrative controls as well",
      "value": "yes_–_and_i_will_use_administrative_controls_as_well"
    },
    {
      "label": "Yes, when I/we cannot work in fall restraint - I will not use administrative controls",
      "value": "yes,_when_i/we_cannot_work_in_fall_restraint_-_i_will_not_use_administrative_controls"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457866476_h1txb",
  "conditions": [
    {
      "action": "hide",
      "radio_value": "no",
      "default_state": "hidden",
      "target_field_index": "46"
    },
    {
      "action": "show",
      "radio_value": "no",
      "default_state": "hidden",
      "target_field_index": "45"
    },
    {
      "action": "show",
      "radio_value": "yes_–_100%_of_the_time",
      "default_state": "hidden",
      "target_field_index": "47"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "rows": 3,
  "label": "Arrest not 100% - explain why",
  "required": false,
  "client_id": "client_text_area_1758659310610_vspn9",
  "max_length": "",
  "min_length": "",
  "placeholder": "Provide reason why you cannot work in arrest"
}

{
  "label": "Swing Fall Hazard Warning",
  "required": false,
  "client_id": "client_description_1757527657128_1bzdc",
  "text_color": "warning",
  "text_style": "bold",
  "description_text": "When you use a fall arrest system consider the hazards of swinging when your system stops you.  Look at what you could swing into - best practice is to limit swing fall to less than 25 degrees"
}

{
  "label": "Will you be using a procedure or administrative controls (raised warning line, barriers other than guardrails)",
  "options": [
    {
      "label": "Yes - 100% of the time",
      "value": "yes_-_100%_of_the_time"
    },
    {
      "label": "Yes - when I/we cannot work in fall arrest or fall restraint",
      "value": "yes_-_when_i/we_cannot_work_in_fall_arrest_or_fall_restraint"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757457878266_c6ssu",
  "conditions": [

  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Components needed",
  "required": false,
  "client_id": "client_description_1752859522659_y0zzr",
  "text_color": "success",
  "text_style": "heading",
  "description_text": "Based on the controls - the following components/ permits and/or tools will be part of your fall protection systems."
}

{
  "label": "Step by step",
  "required": false,
  "client_id": "client_description_1752859881557_fjhg5",
  "text_color": "warning",
  "text_style": "heading",
  "description_text": "Do not proceed until you have reviewed and understand the manufacturer instructions.  These step  by step are in additional to them."
}

{
  "items": [
    {
      "id": "item_1757532797853_26tft",
      "name": "Calculation for size of drop cone",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532797853_edluc",
      "name": "Coordination with Prime Contractor",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757532797853_nqc7a",
      "name": "QRsafety.com leading edge permit",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757532797853_xgqsz",
      "name": "Signs",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757532937687_cqub4",
      "name": "Barricade tape or rope",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757532937821_a10r2",
      "name": "Procedure for training spotters",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757627497392_nb1kz",
      "name": "Effective communication (radio/ whistle)",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757627497444_0cdmd",
      "name": "Flashlight",
      "checked": false,
      "required": false
    }
  ],
  "label": "Exclusion zone items needed",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757532767288_qrk2r",
  "show_as_shopping_cart": true
}

{
  "items": [
    {
      "id": "item_1757539539267_fcvii",
      "name": "Post sign at entrance to fall hazard areas – “Authorized Personnel” only or similar",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539539267_e2heu",
      "name": "Lock access door, remove access ladder or block accesses",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539539267_b31mr",
      "name": "Review this plan with anyone who enters the area that has the fall hazard",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539539267_anip9",
      "name": "Post this plan for anyone to see",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539539267_lalcv",
      "name": "Add a sketch to this plan that shows the outline of work area, fall hazard(s), path to work area and distance to maintain between from hazard(s)",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757539670904_gc61o",
      "name": "Erect a highly visible raised warning line or barriers with a minimum 6.5’ buffer zone",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757539670936_0v1pr",
      "name": "Confirm with anyone who uses this plan that they are not to get within 6.5’ of any leading edge unless using personal fall protection",
      "checked": false,
      "required": false
    }
  ],
  "label": "Exclusion zone step by step",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757539233379_c2w6a",
  "show_as_shopping_cart": true
}

{
  "items": [
    {
      "id": "item_1757533788979_1qx8e",
      "name": "Cast in web anchor strap",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757533788979_10hnm",
      "name": "Choked around structure web or cable anchor strap",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757533788979_j1ock",
      "name": "Bolt down anchor",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757533788979_fcihe",
      "name": "Beam slider",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758659631925_6zki7",
      "name": "Door/window jamb anchor",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758659631964_ym1f2",
      "name": "Re-usable concrete anchor",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1761672916350_fwej4",
      "name": "Permanent engineered anchor",
      "checked": false,
      "required": false
    }
  ],
  "label": "Fall Protection anchor item(s) needed",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757532774155_mqoqf",
  "show_as_shopping_cart": true
}

{
  "label": "Are there any other anchors you will be using?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757534017024_2os1g",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "54"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "rows": 3,
  "label": "Other anchor details",
  "required": false,
  "client_id": "client_text_area_1757533942120_zc8b6",
  "max_length": "",
  "min_length": "",
  "placeholder": ""
}

{
  "items": [
    {
      "id": "item_1757534824311_i5o48",
      "name": "Basic single D ring - class A",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757534824311_fpiq8",
      "name": "Side D rings for work positioning - class P",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757534824311_fmi3q",
      "name": "Shoulder D rings for confined space - class E",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757534824311_u4n8m",
      "name": "Site saddle for extended work positioning",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757534824311_ecx9d",
      "name": "Sternum D ring - class L",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1759355682762_lg03g",
      "name": "Arc resistant - class R",
      "checked": false,
      "required": false
    }
  ],
  "label": "Harness options needed",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757534799514_vi1ty",
  "show_as_shopping_cart": true
}

{
  "label": "Will you be using a rope grab?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757535099300_081b1",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "57"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Warning for Rope Grabs",
  "required": false,
  "client_id": "client_description_1757534468626_3lxab",
  "text_color": "warning",
  "text_style": "bold",
  "description_text": "To be in compliance, you will need to either have a rope grab with integral (permanently attached) 30\" lanyard (CSA) or a separate lanyard max. 36\" (ANSI)"
}

{
  "label": "Will you be using a vertical lifeline?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757535075970_vvmsl",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "59"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757535981054_ebms9",
      "name": "Inspect equipment",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757535981113_x4it9",
      "name": "Don your harness",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757535981143_5u9zp",
      "name": "Connect lifeline to anchor then lower lifeline down work area - add and secure softener if required",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757535981173_kg7t0",
      "name": "In a safe zone, connect rope grab to lifeline, ensure arrow is pointed up towards the anchor, connect lanyard to rope grab – complete tug test",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757535981203_1ehbj",
      "name": "Complete buddy system check",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757535981232_sm0va",
      "name": "Test equipment to ensure that it is in good working order",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757535981262_vmp73",
      "name": "Always maintain rope grab above your back D ring and avoid swing fall hazard",
      "checked": false,
      "required": true
    }
  ],
  "label": "Vertical lifeline step by step",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757535414548_phrdm",
  "show_as_shopping_cart": true
}

{
  "label": "Will you be using an energy absorbing lanyard?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757535113523_42cnq"
}

{
  "label": "Will you be using a horizontal lifeline?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757535127016_ax4kb",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "62"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757539480260_vjc1f",
      "name": "Have engineering or have manufacturers system with instructions",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757539480260_yceyp",
      "name": "Confirm total fall clearance stops  worker before hitting lower surface",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757539480260_jbtxu",
      "name": "Confirm anchorage is strong enough and allows a horizontal force",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757539480260_5aogz",
      "name": "Confirm connecting components are accepted by mfg. or engineer",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1757539480260_kg95g",
      "name": "Follow mfg. instructions and/ or engineering",
      "checked": false,
      "required": false
    }
  ],
  "label": "Horizontal lifeline step by step",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757539221731_1nu96",
  "show_as_shopping_cart": true
}

{
  "label": "Will you be using work positioning?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757535133472_vodfu"
}

{
  "label": "Will you be using a self retracting device (SRL/ SRD/ YOYO)?",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757614502829_mzi04",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "65"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "78"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "items": [
    {
      "id": "item_1757539256784_ncd0n",
      "name": "Inspect equipment",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539256784_3z0ru",
      "name": "Don your harness",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539256784_x0y9s",
      "name": "Connect device to the back D-Ring on the harness. Complete tug test.",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539256784_z1h3q",
      "name": "Select an anchorage location with minimal free fall and swing fall hazards.",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539256784_y6r5l",
      "name": "Select an appropriate anchorage point",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539385583_uligo",
      "name": "Connect connecting device to anchorage",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539385616_sw80a",
      "name": "Complete buddy system check",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1757539385649_odf33",
      "name": "Tug test system to confirm it is all connected and locking",
      "checked": false,
      "required": true
    },
    {
      "id": "item_1758833744370_a79ke",
      "name": "If for restraint - edge is further away then SRD max length",
      "checked": false,
      "required": false
    }
  ],
  "label": "SRD step by step",
  "required": false,
  "client_id": "client_ppe_shopping_cart_1757539215115_4cblm",
  "show_as_shopping_cart": true
}

{
  "label": "Do you want to add any photos",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1758842429671_yq2zq",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "67"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "68"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "69"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "File Upload",
  "required": false,
  "client_id": "client_file_upload_1757539795537_9gco4"
}

{
  "label": "File Upload",
  "required": false,
  "client_id": "client_file_upload_1757539806691_wvjoi"
}

{
  "label": "File Upload",
  "required": false,
  "client_id": "client_file_upload_1757539816709_tfveq"
}

{
  "label": "Do you want to upload any files",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1758842439551_vioo3",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "71"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "72"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "73"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "File Upload",
  "required": false,
  "client_id": "client_file_upload_1752860802746_sai45"
}

{
  "label": "File Upload",
  "required": false,
  "client_id": "client_file_upload_1752860806811_rs2ix"
}

{
  "label": "File Upload",
  "required": false,
  "client_id": "client_file_upload_1757539826730_uuf94"
}

{
  "label": "Pre-use and routine inspections",
  "required": false,
  "client_id": "client_description_1752864668431_x8e6p",
  "text_color": "success",
  "text_style": "heading",
  "description_text": "The checked items will be inspected following the manufacturer instructions and at intervals checked to confirm set up is correct."
}

{
  "items": [
    {
      "id": "item_1758665586959_i1t97",
      "name": "No gaps large enough to pass through",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758665586959_pe13b",
      "name": "Top rail 40-44",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758665586959_k00pt",
      "name": "Posts securing rails on narrow side",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758665586959_irnbk",
      "name": "125 pounds strength horizontally - does not pass over edge with force",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758665586959_st4tk",
      "name": "If manufactured system - consult instructions",
      "checked": false,
      "required": false
    }
  ],
  "label": "Guardrail inspections - before use",
  "required": false,
  "client_id": "client_safety_checklist_1758665574533_giwa3"
}

{
  "items": [
    {
      "id": "item_1752864908209_pax9b",
      "name": "Anchorage (the structure)",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752864908209_pjhlp",
      "name": "Anchor (connects to structure)",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752864908209_x5vp4",
      "name": "Lifeline - vertical and horizontal",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752864908209_u512j",
      "name": "Self retracting device",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752868739098_0fohb",
      "name": "Rope Grab",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752868745769_w6fpr",
      "name": "Lanyard",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752868751025_53lii",
      "name": "Carabiners/ connectors",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752868766574_wu6m9",
      "name": "Tool tethers",
      "checked": false,
      "required": false
    }
  ],
  "label": "These components will be inspected before use",
  "required": false,
  "client_id": "client_safety_checklist_1752864903077_957xt"
}

{
  "items": [
    {
      "id": "item_1752871842652_tvmoh",
      "name": "Anchorage connection to anchor",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752871964113_qhg7m",
      "name": "Lifeline connection to anchorage",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752871964129_9iidv",
      "name": "Self retracting device connection to anchorage",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752871964144_lo04m",
      "name": "Rope grab connection to lifeline",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752871964165_gku0x",
      "name": "Buddy check on harness",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752871964181_uknup",
      "name": "Lanyard connection",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752871964202_43lih",
      "name": "Exclusion zone set up",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1758824962228_65a9a",
      "name": "Guardrail system",
      "checked": false,
      "required": false
    }
  ],
  "label": "Also - After a break these components will be inspected.",
  "required": false,
  "client_id": "client_safety_checklist_1752871837600_6xgv3"
}

{
  "items": [
    {
      "id": "item_1752872757844_uq3v9",
      "name": "CSA authorized person within date range",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1752872757844_pbtf1",
      "name": "Manufacturer required within date range",
      "checked": false,
      "required": false
    }
  ],
  "label": "SRD - Type 2 or 3 self retracting devices will have routine inspections",
  "required": false,
  "client_id": "client_safety_checklist_1752872752951_fszm4"
}

{
  "items": [
    {
      "id": "item_1760992267526_tu5zm",
      "name": "No gaps large enough to pass through",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1760992267526_epcsl",
      "name": "Top rail 40-44",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1760992267526_u5hvz",
      "name": "Posts securing rails on narrow side",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1760992267526_z0blp",
      "name": "125 pounds strength horizontally - does not pass over edge with force",
      "checked": false,
      "required": false
    },
    {
      "id": "item_1760992267526_s24x4",
      "name": "If manufactured system - consult instructions",
      "checked": false,
      "required": false
    }
  ],
  "label": "Guardrail inspections - before use 2",
  "required": false,
  "client_id": "client_safety_checklist_1760992251463_m59px"
}

{
  "label": "Rescue types",
  "required": false,
  "client_id": "client_description_1752873180893_fwsbr",
  "text_color": "success",
  "text_style": "heading",
  "description_text": "The following rescue techniques will be used in a hierarchy approach with self rescue being the first choice."
}

{
  "label": "Fall Restraint rescue",
  "required": false,
  "client_id": "client_description_1752873313961_phtkn",
  "text_color": "warning",
  "text_style": "bold",
  "description_text": "In a fall restraint system you cannot fall therefore rescue will not require work at heights.  Follow standard injury/ first aid procedures. "
}

{
  "label": "Administrative controls - rescue",
  "required": false,
  "client_id": "client_description_1752873490950_53xqf",
  "text_color": "warning",
  "text_style": "bold",
  "description_text": "Administrative controls do not allow a worker to get within 6.5' of a fall hazard.  Rescue will be standard injury/ first aid procedures. "
}

{
  "label": "Rescue types",
  "required": false,
  "client_id": "client_description_1752873811318_kyehd",
  "text_color": "success",
  "text_style": "heading",
  "description_text": "By choosing a scenario, the step by step instructions will be added to this plan.  \nChoose as many as needed.\nThey are listed in a hierarchy or difficulty."
}

{
  "label": "We will use Worker self rescue first",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757542340641_vjlaw",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "85"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Self Step by step",
  "required": false,
  "client_id": "client_description_1757542988404_rcb7r",
  "text_color": "primary",
  "text_style": "bold",
  "description_text": "a.\tStay calm – let everyone know the system has worked and you are safe.\nb.\tLook at yourself – are you injured.  If so wait for help\nc.\tLook at your system – has it been damaged? If so wait for help\nd.\tIf you can pull yourself back onto a work platform, floor, roof, structure without risking another fall – do so\ne.\tOnce back on the surface adjust your rope grab or your retractable device to remove any slack\nf.\tTravel to a safe area\ng.\tDisconnect system and notify your supervisor\nh.\tRemove your entire fall protection system from service/ tag it\ni.\tNotify owner of the anchor, if not your employer, and have it tagged/ removed from service\nj.\tParticipate in the incident investigation\n"
}

{
  "label": "We will use Worker assisted rescue when self rescue cannot be used",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757542345278_m8nxl",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "87"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Assisted Step by step",
  "required": false,
  "client_id": "client_description_1757542995038_jtw97",
  "text_color": "primary",
  "text_style": "bold",
  "description_text": "a.\tStay calm – let everyone know the system has worked and they are safe.\nb.\tNotify your supervisor\nc.\tLook at the fallen worker – are they injured.  If so call first aid.\nd.\tLook at the fallen workers fall protection system.  Is it damaged from arresting the fall.  If so, gather and deploy a back up fall protection system.\ne.\tMake a note of the time the worker fell\nf.\tIf at anytime the worker gets groggy or becomes unconscious call your supervisor and 911\ng.\tPrior to helping the fallen worker set yourself up in a fall protection system – restraint if possible\nh.\tIf you can reach out and grasp the fallen workers hand or harness, do so.  Pull the worker into the structure\ni.\tIf needed have a rope and toss it to the fallen worker while the rescuer holds the other end – pull worker close when possible\nj.\tIn some cases you will need a short ladder or work platform for the worker to stand on and allow them to get slack on their rope grab or to reset their retractable.  If this is required ensure the ladder/ work platform is tethered to structure, is held stable by the rescuer and the rescuer maintains hold of the fallen worker until they are able to stand on the surface.\nk.\tTravel to a safe area\nl.\tDisconnect system and notify your supervisor\nm.\tRemove your entire fall protection system from service/ tag it\n"
}

{
  "label": "We will use DEP box rescue - only choose if a DEP box and crane is on site - when self or assisted rescue are not possible",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757542349978_rhmf3",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "89"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "DEP Step by step",
  "required": false,
  "client_id": "client_description_1757543001281_uqx24",
  "text_color": "primary",
  "text_style": "bold",
  "description_text": "a.\tStay calm – let everyone know the system has worked and they are safe.\nb.\tNotify your supervisor and with their direction notify the Prime Contractor.\nc.\tLook at the fallen worker – are they injured.  If so call first aid.\nd.\tLook at the fallen workers fall protection system.  Is it damaged from arresting the fall.  If so, gather and deploy a back up fall protection system.\ne.\tMake a note of the time the worker fell\nf.\tIf at anytime the worker gets groggy or becomes unconscious call your supervisor and 911\ng.\tFollow the direction of the Prime Contractor – or if you are the Prime Contractor follow your procedure for DEP box rescue.\nh.\tRemove your entire fall protection system from service/ tag it\ni.\tNotify owner of the anchor, if not your employer, and have it tagged/ removed from service\nj.\tParticipate in the incident investigation\n"
}

{
  "label": "We will use MEWP (scissor or boom) rescue when one is available and worker is conscious",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1758837193467_y9yu6",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "91"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "MEWP Step by step - for conscious workers",
  "required": false,
  "client_id": "client_description_1758669157158_gs5ry",
  "text_color": "primary",
  "text_style": "bold",
  "description_text": "NOTE - This plan requires a safe place to operate the MEWP that provides save access to the worker.\na.\tStay calm – let everyone know the system has worked and they are safe.\nb.\tNotify your supervisor and with their direction notify the Prime Contractor.\nc.\tLook at the fallen worker – are they injured.  If so call first aid.\nd.\tLook at the fallen workers fall protection system.  Is it damaged from arresting the fall.  If so, gather and deploy a back up fall protection system.\ne.\tMake a note of the time the worker fell\nf.\tIf at anytime the worker gets groggy or becomes unconscious call your supervisor and 911\ng.\tHave qualified operator complete pre-use inspeciton of machine\nh. Confirm the maximum load of the MEWP.  Default to operator and the patient if you cannot confirm.\nI. Place lift close to suspended worker.  Using a second lanyard, connect to the workers back D ring.\nJ. Adjust MEWP location as required.  When in best location connect the other end of fallen workers new lanyard onto the identified anchor of the MEWP.\nK. Help worker gain access to the lift\nL. When worker is in MEWP and connected to the MEWP - disconnect the fall pro system that stopped the fall.\nM. Lower worker to safe area\nh.\tRemove used fall protection system from service/ tag it\ni.\tNotify owner of the anchor, if not your employer, and have it tagged/ removed from service\nj.\tParticipate in the incident investigation"
}

{
  "label": "We will use a rope rescue system - only choose if there is a system available",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757542354419_o4ldf",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "93"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "Kit step by step",
  "required": false,
  "client_id": "client_description_1757543009331_sxnm4",
  "text_color": "primary",
  "text_style": "bold",
  "description_text": "a.\tStay calm – let everyone know the system has worked and they are safe.\nb.\tNotify your supervisor and with their direction notify the Prime Contractor.\nc.\tLook at the fallen worker – are they injured.  If so call first aid.\nd.\tLook at the fallen workers fall protection system.  Is it damaged from arresting the fall.  If so, gather and deploy a back up fall protection system.\ne.\tMake a note of the time the worker fell\nf.\tIf at anytime the worker gets groggy or becomes unconscious call your supervisor and 911\ng.\tFollow your procedure for rescue using the specific rescue system\n"
}

{
  "label": "Emergency services rescue (fire department) ",
  "options": [
    {
      "label": "Yes",
      "value": "yes"
    },
    {
      "label": "No",
      "value": "no"
    }
  ],
  "required": false,
  "client_id": "client_radio_button_1757542361188_jm4jj",
  "conditions": [
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "94"
    },
    {
      "action": "show",
      "radio_value": "yes",
      "default_state": "hidden",
      "target_field_index": "95"
    }
  ],
  "field_type": "radio_button",
  "conditional": true
}

{
  "label": "911 step by step",
  "required": false,
  "client_id": "client_description_1757543021694_u4958",
  "text_color": "primary",
  "text_style": "bold",
  "description_text": "a.\tStay calm – let everyone know the system has worked and they are safe.\nb.\tNotify your supervisor and with their direction notify the Prime Contractor.\nc.\tCall 911 and tell them you require a worker to be rescued from a fall\nd.\tTake direction from 911 operator\n"
}

{
  "label": "Notice - WSBC and emergency services",
  "required": false,
  "client_id": "client_description_1757542752586_7t9xv",
  "text_color": "warning",
  "text_style": "bold",
  "description_text": "NOTE 1– prior to considering emergency services your only rescue provider an assessment following requirements in WSBC Guidelines 14.3(1) must be completed and emergency services notified.\nNote 2 - When doing short duration suspended work you should also consider the “Notice of Rescue Service for Short-term Work” found in section 4.13 of the WSBC guidelines - https://www.worksafebc.com/en/law-policy/occupational-health-safety/searchable-ohs-regulation/ohs-guidelines/guidelines-part-04#SectionNumber:G4.13_1"
}

{
  "rows": 3,
  "label": "Add any additional notes in this area",
  "required": false,
  "client_id": "client_text_area_1757543537806_jgg2r",
  "max_length": "",
  "min_length": "",
  "placeholder": ""
}

{
  "label": "Signatures",
  "required": false,
  "client_id": "client_description_1758649950839_gdoq7",
  "text_color": "primary",
  "text_style": "normal",
  "description_text": "Supervisor signs to confirm it has been reviewed by workers - attach an additional sign off sheet if needed"
}

{
  "label": "Signature",
  "required": false,
  "client_id": "client_signature_1761062010661_y5dmv"
}