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Climber Evaluation Part 3

Contributor: Safesite HQ 2 Jurisdiction: OSHA

Arboriculture

Use this inspection to evaluate Climber proficiency. The employee will have a final evaluation of Beginner, Intermediate or Advanced and can not move onto Climber Evaluation Part 4 until evaluated to at least Intermediate in this part. Evaluate each of the following behaviors for pass/fail and provide a comment when a behavior fails.

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Climber Evaluation Part 3

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Basic InformationSection 1 of 7 with 6 Questions

1. Employee Name

2. Employee Number

3. Time in Industry

4. Time with Employer

5. Date of Hire

6. Electrical Hazards Awareness Program (EHAP) Training Date

Aerial Lift/Bucket Truck InspectionSection 2 of 7 with 2 Questions

1. Understand load charts

Actions

2. Understand safety devices/alarms

Actions

Basic Operation Lower ControlsSection 3 of 7 with 2 Questions

1. Outrigger Placement

Actions

2. Dump Box Controls

Actions

Fall ProtectionSection 4 of 7 with 2 Questions

1. Inspection

Actions

2. Use

Actions

Basic OperationsSection 5 of 7 with 1 Question

1. with no hazards or obstacles

Actions

Advanced Operations (with hazards, obstacles and within 10' of electrical conductors)Section 6 of 7 with 2 Questions

1. Long-booming

Actions

2. Boom operation at all angles

Actions

Final EvaluationSection 7 of 7 with 4 Questions

1. Areas to Improve

2. Comments

3. Evaluators Name

4. Employee Proficiency Level (Beginner, Intermediate, Advanced) Employee can not move to Tree Climber Evaluation Part 4 unless evaluated to at least Intermediate.

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