Competency Review

• Conducted on

  Date

• Site

  Select BT2 BT3 BT4 Kingman Windstar Mesa Shop

  • BT2
  • BT3
  • BT4
  • Kingman
  • Windstar
  • Mesa
  • Shop

• Turbine Number

• Reason for Visit

  Select V-90 3 MW Competency V-27 Competency GE Competency Gamesa 2 MW Competency

  • V-90 3 MW Competency
  • V-27 Competency
  • GE Competency
  • Gamesa 2 MW Competency

• Employees Onsite

  Select Mario Roberto Leonard Andrew Luke Blake Jeramy Adam Anthony Julio Scoutt Brian Jared John Dalton Justin Contractor Contractor Contractor Contractor

  • Mario
  • Roberto
  • Leonard
  • Andrew
  • Luke
  • Blake
  • Jeramy
  • Adam
  • Anthony
  • Julio
  • Scoutt
  • Brian
  • Jared
  • John
  • Dalton
  • Justin
  • Contractor
  • Contractor
  • Contractor
  • Contractor

• Work Order Number

• Turbine Stop Time

  Date

• Work Start Time

  Date

• Turbine Start Time

  Date

• Work Stop Time

  Date

• Has the employee completed the job planning exercise

  Yes

  No

  N/A

• Has the employee received job plan sign off

  Yes

  No

  N/A

• Has the employee inspected PPE according to the activity

  Yes

  No

  N/A

• Does the employee demonstrate sound knowledge and operation in the safe shut down/start up of the turbine

  Yes

  No

  N/A

• Does the employee demonstrate proper hoisting techniques as designated in the work procedures

  Yes

  No

  N/A

• Does the employee demonstrate proper LOTO of the equipment to be worked on

  Yes

  No

  N/A

• If applicable does the employee demonstrate and perform Confined Space Entry per the procedure

  Yes

  No

  N/A

• Does the employee demonstrate the ability to find, distinguish and apply applicable work procedures for the task

  Yes

  No

  N/A

• Attach all work procedures to the printed version of this competency exam. Document the identification of the work procedures in this section.

  Yes

  No

  N/A

Competency Review Sign OFF

• Qualified Reviewer

  Select Jared Brian Scoutt Mario Roberto Dalton Trish Other

  • Jared
  • Brian
  • Scoutt
  • Mario
  • Roberto
  • Dalton
  • Trish
  • Other

• Signature Qualified Reviewer

  Sign

• Date and Time review completed

  Date

• Employees under evaluation

  Select Mario Roberto Leonard Andrew Luke Blake Jeramy Adam Anthony Julio Scoutt Brian Jared John Dalton Justin Contractor Contractor Contractor Contractor

  • Mario
  • Roberto
  • Leonard
  • Andrew
  • Luke
  • Blake
  • Jeramy
  • Adam
  • Anthony
  • Julio
  • Scoutt
  • Brian
  • Jared
  • John
  • Dalton
  • Justin
  • Contractor
  • Contractor
  • Contractor
  • Contractor

• Evaluated Employees Signature

  Sign

• Evaluated Employees Signature

  Sign