Above chart is for a question below Please enable JavaScript in your browser to complete this form.Name *FirstLastCompany NameAddressCityStateZipcodeWhich do you wantFall Arrest SystemFall Restraint SystemPlease describe what specific work or activities are being performed that you have a concern withWhere is the area of concernA roof hatchOn the roofOn a overhead craneOver trucksOver busesOver railcarsWhat is the estimated height exposureApplication is locatedInsideOutsideIf inside, is there a ceiling height restrictionYesNoIf yes, how high is the ceiling in feetAre there obstructions (pipes, conduit, rails, valves) between the walking surface and the groundYesNoIf you are concerned with a "leading edge" - What is the estimated length of exposure in feetIf the exposure is on a roof or a ledge - Is there a structure you think might be strong enough to attach and anchor a lifeline system toYesNoIf on a roof - Is there a pitch to the roofYesNoBased upon the chart above - Please check the box that best describes your roofs pitchA is equal to 10-12 or steeperB is equal to 9-12C is equal to 9-10D is equal to 7-12E is equal to 6-12F is equal to 5-12G is equal to 4-12H is equal to 3-12I is equal to 2-12J is equal to 1-12K is equal to a flat roofWhat is the maximum users anticipatedHow will the users gain access to the roof, ledge, or other working surfaceIs there a structure above the walking surface a lifeline could be attached toYesNoAre there any other issues we should be aware ofMessageSubmit
