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Climber Evaluation Part 4

Contributor: Safesite HQ 2 Jurisdiction: OSHA

Arboriculture

Use this inspection to evaluate Climber proficiency. Evaluate each of the following behaviors for pass/fail and provide a comment when a behavior fails. The employee will have a final evaluation of Beginner, Intermediate or Advanced. This is the final section in Climber Evaluation.

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Climber Evaluation Part 4

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Basic InformationSection 1 of 6 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

Beginning Rigging (Single Rope)Section 2 of 6 with 1 Question

1. Leaders (Vertical Only) – No electrical work

Actions

Intermediate RiggingSection 3 of 6 with 3 Questions

1. Tops (Outside of 10’ from Electrical Conductors)

Actions

2. Leaders (Vertical and Horizontal)

Actions

3. Ziplining

Actions

Advanced Rigging (within 10’ of electrical conductors/cannot break MAD)Section 4 of 6 with 4 Questions

1. Tops (Within 10’ from Electrical Conductors)

Actions

2. Leaders (Vertical and Horizontal)

Actions

3. Ziplining

Actions

4. Specialized Equipment/Techniques: GRCS, Port-a-wrap, 5:1, Re-direct.

Actions

Crane WorkSection 5 of 6 with 3 Questions

1. Signaling

Actions

2. Cuts

Actions

3. Rigging

Actions

Final EvaluationSection 6 of 6 with 4 Questions

1. Areas to Improve

2. Comments

3. Evaluators Name

4. Employee Proficiency Level (Beginner, Intermediate, Advanced)

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