Information

  • Ladder Evaluation for technician

  • Tech position

  • Customer Name

  • Customers account number

  • Conducted on

  • Manager Name

  • Position

  • Location
  • Activity at Arrival

  • Office

Multi Ladder

  • Multi-Ladder found in good working condition

  • Explain why the technician is Non Competent

  • Add media

  • Multi-Ladder properly stored in the van

  • Explain why the technician is Non Competent

  • Add media

  • Extended ladder for use on a wall or side of building

  • Explain why the technician is Non Competent

  • Add media

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

  • Explain why the technician is Non Competent

  • Add media

  • Properly used ladder as a step ladder (stable)

  • Worked from multi-Ladder from correct height

  • Explain why the technician is Non Competent

  • Add media

  • 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

  • Explain why the technician is Non Competent

  • Add media

  • Tech used proper PPE (Hardhat, Safety glasses, Boots)

  • Explain why the technician is Non Competent

  • Add media

Lifting, Strains and Sprains

  • Materials are properly staged to minimize lifting and carrying

  • Explain why the Technician is non-competent

  • Take a picture of the items not staged properly

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

  • Explain what hazards were not observed by the technician

  • Take a picture of the hazard

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

  • Explain how the technician is not lifting properly

  • When lifting or 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 or lifting 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.