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.

Complete Now

Template Preview

Basic InformationSection 1 of 7 with 6 Questions

1. Employee Name

Answer

2. Employee Number

Answer

3. Time in Industry

Answer

4. Time with Employer

Answer

5. Date of Hire

Answer

6. Electrical Hazards Awareness Program (EHAP) Training Date

Answer

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

1. Understand load charts

Actions

Comment

2. Understand safety devices/alarms

Actions

Comment

Basic Operation Lower ControlsSection 3 of 7 with 2 Questions

1. Outrigger Placement

Actions

Comment

2. Dump Box Controls

Actions

Comment

Fall ProtectionSection 4 of 7 with 2 Questions

1. Inspection

Actions

Comment

2. Use

Actions

Comment

Basic OperationsSection 5 of 7 with 1 Question

1. with no hazards or obstacles

Actions

Comment

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

1. Long-booming

Actions

Comment

2. Boom operation at all angles

Actions

Comment

Final EvaluationSection 7 of 7 with 4 Questions

1. Areas to Improve

Answer

2. Comments

Answer

3. Evaluators Name

Answer

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

Answer