Utility Cutting Competency Form
Assess a worker’s readiness, skills, and experience for utility cutting tasks.
Worker’s Full Name
*
First Name
Last Name
Job Title or Role
*
Years of Experience in Utility Cutting
*
Which utility cutting equipment are you proficient with?
*
Concrete saw
Angle grinder
Hydraulic cutter
Reciprocating saw
Other
Have you completed safety training for utility cutting in the past 2 years?
*
Yes
No
What safety hazards are you aware of when performing utility cutting?
*
Flying debris
Noise exposure
Electric shock
Tool kickback
Other
How would you rate your ability to follow standard operating procedures for utility cutting?
*
1
2
3
4
5
Describe your most recent utility cutting task.
*
Supervisor’s Assessment
*
Competent
Needs Improvement
Not Competent
Additional Comments
Submit Competency Assessment
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