Template

IAEC Bucket Rescue Evaluation Checklist

by Matt Pociask, from the Community

Use this IAEC template to conduct annual bucket rescue evaluations for electric utility crews. Confirm proficiency with lower truck controls and bucket tilting, and assess knowledge of rescue protocols such as Mayday, CPR, AED, first aid, and rigging. Includes sections for evaluator notes, pass or retest outcomes, and employee and trainer signatures to document competency and compliance.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Bucket Rescue Evaluation Checklist
This annual bucket rescue evaluation checklist helps electric cooperative and utility crews demonstrate proficiency in operating lower and upper controls and tilting the bucket to perform an emergency rescue. It covers knowledge of rescue techniques, Mayday procedures, CPR and AED, and rigging. Use it to document successful completion and capture trainer and employee signatures for compliance and ongoing safety training.
by Matt Pociask, from the Community
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Template
IAEC Pole Top Rescue for Electric Line Workers
Use this IAEC pole top rescue annual proficiency evaluation template to assess electric line workers on critical rescue skills. It covers Mayday call, donning PPE and fall restriction equipment, safe ascent, attaching a handline, securing and lowering the victim, controlled descent, and post-rescue checks including vitals and CPR. The exercise emphasizes completing the rescue within four minutes to enable timely CPR. Includes signature fields for employees and the safety instructor and timing records to establish a performance baseline.
by Matt Pociask, from the Community
Downloads: 0
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Template
IAEC - Pole Top Rescue For The Electric Line Worker (Version 5)
Annual proficiency evaluation
by Matt Pociask, from the Community
Downloads: 90+
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Template
Confined Spaces Plan And Rescue Arrangements
This confined spaces plan and rescue arrangements checklist helps teams prepare for safe entry and recovery in warehouse and industrial environments. It guides users to confirm current training, complete pre-entry requirements, apply and verify LOTO for a zero-energy state, and stage rescue equipment such as an evacuation chair and first aid kit. The form captures work details, SCADA location and WO numbers, defines communication methods, and selects the applicable rescue approach including self-rescue, external, or entry rescue. It records required PPE, time in and out, and signatures from entrants, supervisors, and the rescue plan author to ensure accountability and compliance.
by Thomas Bearder, from the Community
Downloads: 0
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Bucket Rescue Evaluation Checklist

This annual bucket rescue evaluation checklist helps electric cooperative and utility crews demonstrate proficiency in operating lower and upper controls and tilting the bucket to perform an emergency rescue. It covers knowledge of rescue techniques, Mayday procedures, CPR and AED, and rigging. Use it to document successful completion and capture trainer and employee signatures for compliance and ongoing safety training.

by Matt Pociask, from the Community

Get

Template

IAEC Pole Top Rescue for Electric Line Workers

Use this IAEC pole top rescue annual proficiency evaluation template to assess electric line workers on critical rescue skills. It covers Mayday call, donning PPE and fall restriction equipment, safe ascent, attaching a handline, securing and lowering the victim, controlled descent, and post-rescue checks including vitals and CPR. The exercise emphasizes completing the rescue within four minutes to enable timely CPR. Includes signature fields for employees and the safety instructor and timing records to establish a performance baseline.

by Matt Pociask, from the Community

Get

Template

IAEC - Pole Top Rescue For The Electric Line Worker (Version 5)

Annual proficiency evaluation

by Matt Pociask, from the Community

90+

Get

Template

Confined Spaces Plan And Rescue Arrangements

This confined spaces plan and rescue arrangements checklist helps teams prepare for safe entry and recovery in warehouse and industrial environments. It guides users to confirm current training, complete pre-entry requirements, apply and verify LOTO for a zero-energy state, and stage rescue equipment such as an evacuation chair and first aid kit. The form captures work details, SCADA location and WO numbers, defines communication methods, and selects the applicable rescue approach including self-rescue, external, or entry rescue. It records required PPE, time in and out, and signatures from entrants, supervisors, and the rescue plan author to ensure accountability and compliance.

by Thomas Bearder, from the Community

Get

IAEC Bucket Rescue Evaluation Checklist

About author

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Bucket Rescue Evaluation Checklist

IAEC Pole Top Rescue for Electric Line Workers

IAEC - Pole Top Rescue For The Electric Line Worker (Version 5)

Confined Spaces Plan And Rescue Arrangements

You might also like

Bucket Rescue Evaluation Checklist

IAEC Pole Top Rescue for Electric Line Workers

IAEC - Pole Top Rescue For The Electric Line Worker (Version 5)

Confined Spaces Plan And Rescue Arrangements