DRS #2 Technicians Safety Evaluation

• Conducted on

  Date

• Technician's Name

• Office Location

• Evaluated by

• Evaluation Location
  Address

PREPARATION FOR THE EVALUATION

• This preparation should be done prior to visiting the technician in the field. You need to be fully informed about the technician's safety history in order to do a good job when coaching.

• What is this technician's current speeding percentage for the month?

• What is this Technician's current speeding percentage for yesterday?

• How many harsh brakes has this technician had in the last month?

• Has this technician appeared on the Backing When Leaving report in the last month?

  Yes

  No

  N/A

• How many points does this tech currently have on the Driving Point Grid?

• When do their points expire on the Driving Point Grid?

• Has the technician had an auto incident in the last year?

  Yes

  No

  N/A

• Describe what happened in the incident.

• Has the technician had a recordable injury in the last year?

  Yes

  No

  N/A

• Describe what the injury was and why it happen

• What did you find on your last evaluation that you need to follow up on?

• Is the van parked properly (backed in, side doors toward the house, nose in diagonally)?

  Yes

  No

  N/A

• Are cones properly deployed (one in front and one in back)?

  Yes

  No

  N/A

• If unattended, is the van locked and windows closed?

  Yes

  No

  N/A

• Take a picture of the van

  Media

• Strains and sprains are our number one cause of injury at DRS. Because it is so important to reduce these type injuries, this category's completion is essential. Lets spend a little extra time on preventing these type of injuries by observing and coaching your team on each of their evaluations.

• Is the cab of the van clean with no loose items?

  Yes

  No

  N/A

• Is the back of their van clean and organized?

  Yes

  No

  N/A

• Are all heavy items near the exterior of the van so that a tech does not have to reach into the van to get them? They are very close to the doors.

  Yes

  No

  N/A

• Take a picture of the back of the van

  Media

• Are ladders properly stored on or in the van?

  Yes

  No

  N/A

• Can the technician properly demonstrate how to lift the ladders?

  Yes

  No

  N/A

• Are they wearing DRS approved boots?

  Yes

  No

  N/A

• Are the boots in good condition? (water resistant, soles not worn out, shoelaces good, etc.)?

  Yes

  No

  N/A

• Can the technician demonstrate their stretching routine?

  Yes

  No

  N/A

• Does the technician scan the route for hazards before starting the lift?

  Yes

  No

  N/A

• Do they pick up the load as close to their body as possible (in the power zone)?

  Yes

  No

  N/A

• Do they carry the load close to their body?

  Yes

  No

  N/A

• Do they bend at the knees, back straight, and head up when lifting?

  Yes

  No

  N/A

• Are they stepping toward the direction they are turning and preventing their torso from twisting while carrying the load?

  Yes

  No

  N/A

• Take a picture with their knees bent, back straight, and head up when lifting.

  Media

• Observe the technician working. Are they working in comfortable positions that are not awkward or putting strain on their bodies?

  Yes

  No

  N/A

• Complete a spot check of the technician's tools. Are they their drill bits sharp?

  Yes

  No

  N/A

• Does the tech know the speed and torque settings for drilling into concrete? Wood?

  Yes

  No

  N/A

• SETTINGS: lowest speed when inserting lags or doing screw clips. When going into a stud they should start around 15, they can always go up from there. If no stud then set the torque between 3-5. Treat brick like a stud, start around 15 and go up if needed

• Ladders is the number two cause of injuries at DRS. Every moment you spend correcting your techs ladder usage may be the coaching that prevents your tech from having an injury.

• Inspect their ladder(s). Are they working properly and lubricated?

  Yes

  No

  N/A

• Is the ladder free of any damaged or missing parts?

  Yes

  No

  N/A

• Did they set the ladder up properly (4 to 1, 2-rungs, 3-rungs, secure)?

  Yes

  No

  N/A

• Are they keeping 3 points of contact when climbing or standing on the ladder?

  Yes

  No

  N/A

• Are they hooking their heels?

  Yes

  No

  N/A

• Are they keeping their belt buckle inside the rungs of the ladder?

  Yes

  No

  N/A

• Observe the technician working. Are they working in comfortable positions that are not awkward or putting strain on their bodies?

  Yes

  No

  N/A

• Do they have water available for hydration?

  Yes

  No

  N/A

• Is their water stored in the back of the van?

  Yes

  No

  N/A

• Take a picture of their water

  Media

• Is their first aid kit complete with all items up to date?

  Yes

  No

  N/A

• Is their first aid kit and fire extinguisher mounted in an open and obvious location?

  Yes

  No

  N/A

• Take a picture of the fire extinguisher and first aid kit

  Media

• Is the tech wearing his name badge?

  Yes

  No

  N/A

• Is the tech wearing their hardhat (if required)?

  Yes

  No

  N/A

• Is the hardhat in good shape (no cracks, clean, etc.)?

  Yes

  No

  N/A

• Is the tech wearing their safety glasses (if required)?

  Yes

  No

  N/A

• Are the safety glasses in good shape and not obscuring vision?

  Yes

  No

  N/A

• Are booties being worn (if required)?

  Yes

  No

  N/A

• Are the booties in good condition?

  Yes

  No

  N/A

• Is their headlamp bright?

  Yes

  No

  N/A

• Do they have extra batteries?

  Yes

  No

  N/A

• Did you get the opportunity to observe the technician's safety behavior in an attic?

  Yes

  No

  N/A

• Did they observe all safety guidelines while entering and navigating the attic?

  Yes

  No

  N/A

• Did you get the opportunity to observe the technician's safety behavior on the roof?

  Yes

  No

  N/A

• Did they perform the work on the roof observing all the safety guidelines?

  Yes

  No

  N/A

• Did the technician use their outlet tester on outlets when doing the customer walk around?

  Yes

  No

  N/A

• Did they install the dish at least 10 feet away from overhead or underground electric?

  Yes

  No

  N/A

• Did the technician unplug the receiver before working on the receiver?

  Yes

  No

  N/A

• When they drill do they drill from the inside out?

  Yes

  No

  N/A

• Did they cut and inspection hole prior to drilling?

  Yes

  No

  N/A

• Did the technician correctly inform the customer of our animal policy?

  Yes

  No

  N/A

• <br>Were the animals put away correctly?<br>

  Yes

  No

  N/A

• Did the technician notify you that he was in the lightning policy?

  Yes

  No

  N/A

• Were they following the policy and working inside his van or inside the customer/s house for 30 minutes?

  Yes

  No

  N/A

• Can the tech tell you what the lightning policy is (30-30 rule, flash / bang)?

  Yes

  No

  N/A

• If you were to rate the level of this technicians safety attitude during this visit on a scale of 1 to 10 with 10 being the highest, what would it be?

• What is your plan of action for observed safety opportunities?

• Technician Signature

  Sign

• Evaluator's Signature

  Sign