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Ladder Evaluation

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Ladder Evaluation

Multi Ladder

Multi-Ladder found in good working condition

Explain why the technician is Non Competent

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Multi-Ladder properly stored in the van

Explain why the technician is Non Competent

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Extended ladder for use on a wall or side of building

Explain why the technician is Non Competent

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Ladder properly set up (4 to 1 ratio) and secured (if necessary)

Explain why the technician is Non Competent

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Properly used ladder as a step ladder (stable)

Explain why the technician is Non Competent

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Worked from multi-Ladder from correct height

Explain why the technician is Non Competent

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Technician hooked their heels when climbing the ladder

Explain why the technician is Non Competent

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Technician kept 3-points of contact at all times on ladder

Explain why the technician is Non Competent

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Properly carried ladder to avoid obstacles, overhangs, steps

Explain why the technician is Non Competent

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Tech used proper PPE (Hardhat, Safety glasses, Boots)

Explain why the technician is Non Competent

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28' or 40' Ladder

Does the tech have a 28' or 40' ladder

Proper ladder in use

Explain why the technician is Non Competent

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Ladder found in good working condition

Explain why the technician is Non Competent

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Ladder safely raised/lowered to work position

Explain why the technician is Non Competent

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Ladder properly set up (4 to 1 ratio) and secured (if necessary)

Explain why the technician is Non Competent

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Setup ladder to the correct height (2-rungs/3-rungs)

Explain why the technician is Non Competent

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worked from the ladder from the correct position

Explain why the technician is Non Competent

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Technician hooked their heels when climbing the ladder

Explain why the technician is Non Competent

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Technician kept 3-points of contact at all times on ladder

Explain why the technician is Non Competent

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Properly carried ladder to avoid obstacles, overhangs, steps

Explain why the technician is Non Competent

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Did not overreach while on the ladder (belt buckle rule)

Explain why the technician is Non Competent

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Ladder properly stored on van (secured)

(check name not set)

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40' ladder carried/raised/lowered by two

Explain why the technician is Non Competent

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Roof work being performed safely (safety Monitor present)

Explain why the technician is Non Competent

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Action to be taken

Technician requires additional ladder training (if more then two non-competent are checked)

Technician re-training done on site (if only two non-competent or less are checked)

What action was taken on site and what is the plan for following up with this issue with the technician

Tech Signature

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