Commentary Task Assessment Form [PDF]

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Commentary Task Assessment Form Completed and signed CTA form shall be kept by Assessor for at least 12 months and available for submission upon any request. Assessor is accountable for keeping the CTA Forms. Commentary Task Coach's name



Assessed Person's Name Assessment Date



Location



List the Activity(ies) or Task(s) Observed during this Commentary Task Assessment:



Pre-Assessment Observations Risk Assessment Done?



Warm Up Done? Y



SIPP Technigues Principle



N



Appropriate PPE worn? Y



N



Y



Total Observations for this Technique SAFE



No Jewelry& dangling clothing?



Right tool used? N



Y



N



Y



Comments on Interventions, Motivational/Formative Feedback, Risk Identification)



AT RISK



Line of Strength



Side Stepping



Safe Working Zones



Smart Grip



Watch Your Head Bracing & Spinal Alignment Special Stairs Technique



Climbing 3-Point



Team Carry



Crew Intervention Mechanical Lifting Decisions



> TOTAL SCORE



CTA Passed



Update CTA Certification in QUEST



CTA Failed



Notify Location HSE & Supervisor. Assessed person to schedule an additional CTA



or