Appointee Name: _________________________

Date: ____________________________________

HSE Appointment: Fall Protection Planner

In accordance with the authority given to me as the CEO I appoint you as follows:

HSE Appointment: Fall Protection Planner

DUTIES
1. Compile a Fall Protection Plan for the project.
2. Implement the Fall Protection Plan and amend where required.
3. Take steps to ensure all employees adhere to the plan.
4. Ensure risk assessments are conducted prior to commencing work in elevated positions.
5. Ensure persons required to work in elevated positions are physically and psychologically fit.
6. Ensure all employees required to work in elevated positions are trained.
7. Ensure all fall arrest equipment is inspected and maintained.
8. Ensure the construction supervisor is issued the latest version of the Fall Protection Plan.
9. Ensure all checklists are kept up to date, with copies in the Health and Safety File.
10. Ensure roof work is included in the planning.

GENERAL
You acknowledge that you are sufficiently trained, qualified and skilled to carry out your
responsibilities as set out in this letter of appointment and as per the legislative requirements you
have received with this appointment. In the event that you require any further training, information or
instruction, you are required to request such training, information or instructions immediately.

You acknowledge that you have been provided with the necessary means to carry out your
responsibilities as set out in this letter. This letter of appointment cancels and supersedes all
previous letter of appointment.
Signature of Appointee ______________________________________________

Signature of CEO _______________________________________________