Information

  • Ladder Evaluation for technician

  • Tech position

  • Customer Name

  • Customers account number

  • Conducted on

  • Manager Name

  • Position

  • Location
  • Activity at Arrival

  • Office

28' or 40' Ladder

  • Does the tech have a 28' or 40' ladder

  • Proper ladder in use

  • Explain why the technician is Non Competent

  • Add media

  • Ladder found in good working condition

  • Take a picture of the defect on the ladder

  • Ladder safely raised/lowered to work position

  • Explain why the technician is Non Competent

  • Add media

  • Ladder properly set up (4 to 1 ratio) and secured (if necessary)

  • Setup ladder to the correct height (2-rungs/3-rungs)

  • Take a picture of the non-competent ladder setup.

  • worked from the ladder from the correct position

  • Technician hooked their heels when climbing the ladder

  • Technician kept 3-points of contact at all times on ladder

  • Properly carried ladder to avoid obstacles, overhangs, steps

  • Take a picture of the obstacle

  • Did not overreach while on the ladder (belt buckle rule)

  • Ladder properly stored on van (secured)

  • Take a photo of the unsecure ladder

  • 40' ladder carried/raised/lowered by two

  • Roof work being performed safely (safety Monitor present)

Lifting, Strains and Sprains

  • Materials are properly staged to minimize lifting and carrying

  • Take a picture of items not staged properly

  • The technician scans the route for hazards before starting the lift

  • Take a picture of the hazard

  • Bending at the knees, back straight, head up when lifting

  • Explain why the technician is non-competent

  • When lifting and carrying the technician does not twist their body

  • The technician keeps the load close to their body when lifting (in the Power Zone)

  • Observe the technician working. Are they working in awkward positions?

  • Explain the technician's awkward position

  • Does the technician have water available for hydration?

Action to be taken

  • Technician requires additional ladder training (if more then two non-competent are checked)

  • Technician re-training done on site (if only two non-competent or less are checked)

  • What action was taken on site and what is the plan for following up with this issue with the technician

  • Tech Signature

  • Manager signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.