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)

  • Explain why the technician is Non Competent

  • Add media

  • Worked from multi-Ladder from correct height

  • Explain why the technician is Non Competent

  • Add media

  • Technician hooked their heels when climbing the ladder

  • Explain why the technician is Non Competent

  • Add media

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

  • Explain why the technician is Non Competent

  • Add media

  • 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

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

  • Explain why the technician is Non Competent

  • Add media

  • 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)

  • Explain why the technician is Non Competent

  • Add media

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

  • Explain why the technician is Non Competent

  • Add media

  • worked from the ladder from the correct position

  • Explain why the technician is Non Competent

  • Add media

  • Technician hooked their heels when climbing the ladder

  • Explain why the technician is Non Competent

  • Add media

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

  • Explain why the technician is Non Competent

  • Add media

  • Properly carried ladder to avoid obstacles, overhangs, steps

  • Explain why the technician is Non Competent

  • Add media

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

  • Explain why the technician is Non Competent

  • Add media

  • Ladder properly stored on van (secured)

  • Add media

  • 40' ladder carried/raised/lowered by two

  • Explain why the technician is Non Competent

  • Add media

  • Roof work being performed safely (safety Monitor present)

  • Explain why the technician is Non Competent

  • Add media

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.