This evaluation form is designed to assess technician competency in ladder safety and proper lifting techniques across multiple locations in Florida. The form covers essential safety aspects including ladder condition inspection, proper setup and usage, PPE compliance, and ergonomic lifting practices. It includes detailed sections for evaluating multi-ladder handling, extension ladder setup, proper climbing technique, and material handling safety. The assessment also addresses hydration, hazard awareness, and body mechanics during lifting operations. Evaluators can document non-compliance issues with photo evidence and specify required corrective actions, whether immediate on-site training or comprehensive retraining programs. The form concludes with signatures from both technician and manager, ensuring accountability and proper documentation of safety evaluations.
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