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
Multi Ladder
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Multi-Ladder found in good working condition
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Explain why the technician is Non Competent
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Add media
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Multi-Ladder properly stored in the van
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Explain why the technician is Non Competent
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Add media
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Extended ladder for use on a wall or side of building
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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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Explain why the technician is Non Competent
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Add media
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Properly used ladder as a step ladder (stable)
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Worked from multi-Ladder from correct height
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Explain why the technician is Non Competent
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Add media
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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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Explain why the technician is Non Competent
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Add media
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Tech used proper PPE (Hardhat, Safety glasses, Boots)
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Explain why the technician is Non Competent
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Add media
Lifting, Strains and Sprains
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Materials are properly staged to minimize lifting and carrying
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Explain why the Technician is non-competent
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Take a picture of the items not staged properly
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The technician scans the route for hazards before starting the lift
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Explain what hazards were not observed by the technician
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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 how the technician is not lifting properly
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When lifting or 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 or lifting 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