Title Page

  • New Hire/Technicians Name

  • Conducted on

  • Prepared by

  • Office Location that the Safety Training Occured

Section A - Were Safety Procedures followed Satisfactorily?

  • Was a hard hat worn while working with the ladder?

  • Was the ladder properly inspected before use to confirm it is in good working condition?

  • Did the individual verify that the soles of his/her boots were clean to maximize traction to avoid slipping?

  • Was the 3 Points-of-Contact method properly used when climbing the ladder?

  • Did the individual face the ladder when moving up and down it?

  • Was the Ladder Properly setup? 75 Degree angle?

  • Before climbing did the technician check the ladder's stability?

  • Did the technician extend the ladder 3 rungs above the point of support (rooftop)?

  • Was the ladder properly tied down to prevent any movement?

  • Did the technician properly inspect the roofs surface before climbing onto the roof?

  • Does the individual clearly understand that the Little Giant Type ladder can only be used in step ladder configuration - can not be fully extended?

Section B - Does the New Hire/Technician demonstrate the ability to properly use a Ladder for his/her job duties?

  • Can the individual remove the ladder from the ladder rack on the vehicle then place it back onto the vehicle?

  • Can the individual handle (carry) the ladder during transport to the work area?

  • Can the individual safely/effectively set the ladder up into proper position at the work area?

  • Can the individual safely and successfully climb onto the rooftop from the ladder?

  • Does the individual exhibit any fear of heights or express to you his/her possible fear of heights?

  • Comments:

  • New Hire/Technicians Signature

  • Training Team Member/FOS 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.