Sabre Welder Evaluation 11.12.14

• Document No.

• Name of Candidate

• Audit Period:

  Select 1st Audit 2nd Audit 3rd Audit Final Audit Additional Audit Retraining Recommended

  • 1st Audit
  • 2nd Audit
  • 3rd Audit
  • Final Audit
  • Additional Audit
  • Retraining Recommended

• Conducted on

  Date

• Prepared by

• Location
  Address

PPE Safety

• Does the candidate know and follow the proper PPE? (Can ask about specific tasks)

  Yes

  No

  N/A

• Do they know where PPE is required? (In all work areas, PPE must be on prior to leaving Breakroom, etc.)

  Yes

  No

  N/A

• Comments

Crane Safety

• Is the candidate familiar with the requirements of the daily crane inspection? Who did today's crane audit or where would they find that information?

  Yes

  No

  N/A

• Does the candidate know the weight of the material/pole currently being moved? Do they know where to find it?

  Yes

  No

  N/A

• Does the candidate know the WLL of the crane as currently configured?

  Yes

  No

  N/A

• Does the candidate demonstrate correct handling of material by crane? (Balanced, low to ground, appropriate hitch - angle to load, minimal hand contact)

  Yes

  No

  N/A

• Is the receiving area properly set up prior to move?

  Yes

  No

  N/A

• Can the candidate appropriately describe how to secure a crane following use? In an emergency?

  Yes

  No

  N/A

• Comments

General Safety Knowledge

• Does the candidate know how and when to report an injury or near-miss incident?

  Yes

  No

  N/A

• Can they find the nearest fire extinguisher? What is the abbreviation for using it? (PASS)

  Yes

  No

  N/A

• Do they know how to replace a used fire extinguisher?

  Yes

  No

  N/A

• Does the candidate know how to correctly use the eye wash station? Can they demonstrate?

  Yes

  No

  N/A

• Does the candidate know evacuation procedures? Nearest exit? (Fire or shelter in place) Where is the muster area?

  Yes

  No

  N/A

• Does the candidate know where the SDS/MSDS book is located?

  Yes

  No

  N/A

• Do they know where the nearest first aid supplies are located? AED?

  Yes

  No

  N/A

• Has the candidate checked their gas lines to ensure that a flashback arrestor(s) is on the gas lines in their station? Can they shut off the lines?

  Yes

  No

  N/A

• LOTO: Can they describe the difference between an "affected" and "authorized" person is?

  Yes

  No

  N/A

• Can they describe the "Zero Tolerance" rule as it pertains to suspended objects? (Not over or under objects, includes cranes w/ loads, forklifts and booms w/ lifts)

  Yes

  No

  N/A

• Comments

Fall Protection/Aerial Lift

• Can the candidate name three pieces needed to complete a proper fall protection system? (Harness, Lanyard, Anchor point)

  Yes

  No

  N/A

• Does the candidate know the weight limitations of the harnesses here at Sabre? Can they find the information? (ANSI 310 lbs, OSHA 420 lbs)

  Yes

  No

  N/A

• Can they describe the possible hazards when using an aerial lift? (Overhead obstructions, tip over, power lines, falling objects,falling out of lift)

  Yes

  No

  N/A

• Do they know when to appropriately engage the e-stop? (daily check, emergency)

  Yes

  No

  N/A

• Do they know the what the correct position of the basket during travel? (Basket low as possible while maintaining view. Gate secured, honk when entering, exiting building or around corners, slow speed)

  Yes

  No

  N/A

• Does the candidate know how to secure the lift after use? (Park appropriately, e-stop)

  Yes

  No

  N/A

• Comments

• Evaluation Results

  Select Adequately Completed Further Evaluation Recommended See Comments below

  • Adequately Completed
  • Further Evaluation Recommended
  • See Comments below

• Comments by Evaluator

• Signature of Candidate - Final Eval Only

  Sign