Information
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Ladder Evaluation for technician
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Tech position
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Customer Name
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Customers account number
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Conducted on
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Manager Name
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Position
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Location
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Activity at Arrival
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Office
- Orlando
- Ocala
- PSL
- Jacksonville
- Gainesville
- Tallahassee
- Tampa
- Ft. Myers
- Lake Whales
28' or 40' Ladder
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Does the tech have a 28' or 40' ladder
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Proper ladder in use
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Explain why the technician is Non Competent
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Add media
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Ladder found in good working condition
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Take a picture of the defect on the ladder
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Ladder safely raised/lowered to work position
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Explain why the technician is Non Competent
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Add media
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Ladder properly set up (4 to 1 ratio) and secured (if necessary)
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Setup ladder to the correct height (2-rungs/3-rungs)
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Take a picture of the non-competent ladder setup.
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worked from the ladder from the correct position
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Technician hooked their heels when climbing the ladder
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Technician kept 3-points of contact at all times on ladder
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Properly carried ladder to avoid obstacles, overhangs, steps
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Take a picture of the obstacle
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Did not overreach while on the ladder (belt buckle rule)
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Ladder properly stored on van (secured)
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Take a photo of the unsecure ladder
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40' ladder carried/raised/lowered by two
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Roof work being performed safely (safety Monitor present)
Lifting, Strains and Sprains
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Materials are properly staged to minimize lifting and carrying
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Take a picture of items not staged properly
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The technician scans the route for hazards before starting the lift
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Take a picture of the hazard
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Bending at the knees, back straight, head up when lifting
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Explain why the technician is non-competent
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When lifting and carrying the technician does not twist their body
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The technician keeps the load close to their body when lifting (in the Power Zone)
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Observe the technician working. Are they working in awkward positions?
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Explain the technician's awkward position
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Does the technician have water available for hydration?
Action to be taken
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Technician requires additional ladder training (if more then two non-competent are checked)
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Technician re-training done on site (if only two non-competent or less are checked)
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What action was taken on site and what is the plan for following up with this issue with the technician
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Tech Signature
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Manager signature