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Rescue Climber Evaluation

Contributor: Safesite HQ Jurisdiction: OSHA

Arboriculture

Use this inspection to evaluate Rescue Climbers in the Arboriculture Industry. Evaluate each of the following behaviors for pass/fail and provide a comment when a behavior fails.

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Rescue Climber Evaluation

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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

Rescue (Climbing Only)Section 2 of 6 with 5 Questions

1. Able to assess the tree, the situation, and put on rescue climbing gear.

Actions

2. Able to ascend the tree and engage the injured/impaired worker in an efficient manner.

Actions

3. Able to access the climb line and/or flip line of the injured/impaired worker in an efficient manner.

Actions

4. Able to connect the injured/impaired worker’s equipment to the rescue line/equipment in an efficient manner.

Actions

5. The rescue climber can lower the injured/impaired climber and themselves down the tree without creating additional hazards for themselves or the injured/impaired worker.

Actions

Rescue (Aerial Lift/Bucket Truck Only)Section 3 of 6 with 6 Questions

1. Able to assess the tree, the situation, and put on rescue climbing gear.

Actions

2. Able to ascend the tree and engage the injured/impaired worker in an efficient manner.

Actions

3. Able to access the fall protection of the injured/impaired worker in an efficient manner.

Actions

4. Able to connect the injured/impaired worker’s equipment to the rescue line/equipment in an efficient manner.

Actions

5. The rescue climber can lower the injured/impaired climber and themselves down the tree without creating additional hazards for themselves or the injured/impaired worker.

Actions

6. If the aerial rescue requires only the operation of the lower controls, the rescue climber can effectively and efficiently maneuver the bucket to the ground without causing additional hazards to the injured/impaired worker, or to themselves.

Actions

Climbing KnotsSection 4 of 6 with 3 Questions

1. Bowline

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2. Figure Eight

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3. Blake’s Hitch

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CommunicationSection 5 of 6 with 3 Questions

1. Rescue climber is proficient in identifying and assessing risks.

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2. Rescue climber understands the stop work procedure.

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3. Rescue climber is proficient in the speak up Safety culture.

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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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