Information

  • Purpose

  • Department

  • To ensure proper display, type full name "Boat Department, Yard Department" etc.

EMPLOYEE INFORMATION

  • Employee Name

  • Last four digits of social security number

COMPANY INFORMATION

  • Company

  • Position

EVALUATION

  • Date of Evaluation

  • Evaluation conducted by:

WELDING SKILLS AND KNOWLEDGE

  • Demonstrates the ability to fabricate a wide variety of metal structures from oral directions, sketches, drawings and blueprints for the purpose of ensuring the availability of items as needed?<br>

  • Demonstrates the ability to tack-weld or weld components and assemblies, using electric, gas arc or other welding equipment?

  • Demonstrates the ability to maintain compliance with all established standards and procedures for joining materials?

  • Demonstrates the ability to maintain a current body of knowledge concerning products and methods for joining materials?

  • Demonstrates the ability to request equipment and supplies for the purpose of maintaining inventory and ensuring availability of required items?

  • Demonstrates the ability to ensure all work is accomplished in the safest manner possible?

  • Demonstrates the ability to respond to emergency situations for the purpose of resolving immediate safety concerns?

  • Demonstrates the ability to assist other personnel as required for the purpose of ensuring an efficient and effective work environment?

RIGGING

  • Does the employee perform overhead rigging duties?

  • Review rigger card to ensure it is current. If not current advise that rigger duties are suspended and contact supervisor immediately

  • Can the employee effectively inspect all rigging gear including identifying the removal criteria as outlined in API RP 2D specifications and OSHA's 29 CFR 1910.180 regulation?

  • Able to identify rigging gear by name?

  • Is familiar with tag line use and restrictions?

  • Can the employee effective demonstrate knowledge in the basics of rigging techniques and can effectively communicate hand signals to the crane operator and other riggers?

  • Can demonstrate proper rigging of a load?

  • Can the employee effective demonstrate competency towards identifying the load weight and communicate same to crane operator in order to determine the appropriate load block needed to safely lift and place the load in a specific location?

  • Can the employee effectively describe what cone of exposure means?

  • Can the employee effectively demonstrate the ability to competently and safely control suspended loads by use of tag lines and communication signals to Crane Operator?

  • Can employee describe specific procedures that must be followed while working near or within the cone of exposure?

  • Can employee demonstrate the ability to competently dismantle and properly store rigging gear after use?

  • NOTE: Ratings are based on documented job completions whereby the employee's performance was observed during all phases of the operation; Rig-up, Operational Mode and Rig-Down

HOT WORK AND FIRE WATCH

  • Can describe when a hot work permit is required

  • Can explain when a fire watch is required

  • Is aware of how long a fire watch must remain on site following the completion of hot work

  • Can explain what safety equipment is required when a hot work permit is required

  • Is aware of special fire extinguisher requirement

  • Is aware of Chevron specific fire blanket requirements

PERSONAL PROTECTIVE EQUIPMENT

  • Was wearing PPE required for the task being performed upon arrival

  • Can demonstrate proper inspection of PPE

  • Understand the limitations of PPE

  • Is familiar with BBI PPE policies

BEHAVIOR BASED SAFETY PROCESS

  • Is there evidence that the employee is participating in the process

  • Understands proper completion of the Take 5 card

  • Familiar with stop work authority policy

JSEA

  • Was a JSEA prepared for the task being performed upon arrival

  • Aware of when a JSEA must be updated

  • Can the employee demonstrate proper completion of a JSEA

ACCIDENT/NEAR MISS REPORTING

  • Is familiar with reporting criteria and procedures

  • Can define near miss

SHORT SERVICE EMPLOYEES

  • Able to describe how SSE's are identified

  • Can employee explain the mentoring process?

CONCLUSION

  • NOTES OR OBSERVATIONS:

  • Is additional training required?

  • Will the lack of training place the employee or personnel around him in danger?

  • CONTACT DEPARTMENT MANAGER IMMEDIATELY

  • ENSURE TRAINING IS SCHEDULED ASAP

ACKNOWLEDGEMENTS

  • Evaluator Name

  • Employee 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.