Evaluator's Name: Applicant's Name: ISA Certified Tree Worker Climber Specialist® Skills Test Evaluation Form A. PRE-CLIMB (STAGING AREA) S U Please Please TASK PERFORMANCE CRITERIA Check Circle REQUIRED EQUIPMENT Hardhat, safety glasses, work boots, climbing Climber brings required equipment and must rope, saddle, handsaw/scabbard, locking meet standard. snaps/carabiners (must be double auto locking carabiners), safety lanyard(s). 102/ Fail Exam No points involved. Must have all approved equipment to proceed. PRE-CLIMB INSPECTION EQUIPMENT Climber demonstrates pre-climb inspection Equipment must be arborist grade and must of equipment. 102/ satisfy all applicable OSHA, ANSI, or CSA Evaluator's comment: Fail Exam standards. "Please demonstrate inspection of equipment." PROPER TIE-IN When using a carabiner without a captive Climber demonstrated proper tie-in. eye, the knot or eye splice shall cinch or be 102/ retained in place to prevent side loading or Fail Exam accidental opening of the gate. A recognized friction hitch tied for ascent. If unsatisfactory, climber may not continue. Recognized friction hitchs: tautline hitch, 102/ Fail Exam Blake's hitch, Distel, Schwabisch, or French Prusik (VT) TYING A FIGURE-8 Climber demonstrates tying a figure-8 in Figure-8 stopper knot tied. 15 running end. ON ROPE TEST Climber demonstrates on rope test for body Tied in, feet on tree, hands off rope. Must be 102/ thrust or secured footlock. successful before continuing. Fail Exam KNOTS & HITCHES Each knot must be tied correctly on first attempt for a satisfactory Climber demonstrates tying of the following mark. Candidate must correctly dress and set each knot. six knots. Attempt = handed to evaluator * NOTE-MISS 3 KNOTS = FAIL Time limit on knots & hitches = 1 minute per knot Cow hitch with a better half or timber hitch 35 Buntline hitch, anchor hitch, or double fisherman's bend (double fisherman's knot) 35 End-of-line: clove hitch or bowline 35 Sheet bend or quick hitch 35 Secured footlock ascending knot: Kleimheist or English Prusik 35 Midline knot: clove hitch or butterfly knot 35 Points Deducted Section A: Explanation of point deduction: TOTAL points deducted this page: Revised 2014 Pg. 1 of 4 Evaluator's Name: Applicant's Name: ISA Certified Tree Worker Climber Specialist® Skills Test Evaluation Form B. ROPE THROW S U Please Please TASK PERFORMANCE CRITERIA Check Circle TREE & SITE INSPECTION Check for location of utilities and wires. 10 Climber inspects tree and site. In ground targets. 10 Evaluator's comment: "Please demonstrate Above ground targets. 10 inspection of the tree and site." Tree structure/stability. 10 START TIMING Time starts on first throw. Start Time: CLIMBING LINE INSTALLATION Climbing rope must be installed in position to Climber installs climbing rope at a pre- allow the climber to safely enter the tree. 102/ determined position. Five (5) attempts maximum. Fail Exam [20-25 feet (6-8 meters) above the ground] Throwline permitted. Points Deducted Section B: C. SECURED ENTRY S U Please Please TASK PERFORMANCE CRITERIA Check Circle SECURED ENTRY INTO TREE Climber demonstrated secured entry into A recognized friction hitch tied for ascent. If unsatisfactory, climber may not continue. tree. 102/ Recognized friction hitchs: tautline hitch, Evaluator's comment: "Please demonstrate Fail Exam entry using body-thrust OR secured Blake's hitch, Distel, Schwabisch, or footlock." French Prusik (VT) Points Deducted Section C: D. ROPE ADVANCEMENT S U Please Please TASK PERFORMANCE CRITERIA Check Circle TREE INSPECTION Climber demonstrates inspection of tree. Verbally identify potential hazards (if any). 20 Evaluator's comment: "Please demonstrate inspection of tree." ASCEND TO FINAL, PRE-DETERMINED Must be secured at all times. Use accepted 102/ TIE-IN POINT and safe climbing techniques. Fail Exam Climber demonstrates ascent to final, pre- The climber may throw rope as many times determined tie-in point. as necessary, may use pole to set rope, may 35 climb using safety lanyard(s). Points Deducted Section D: Explanation of point deduction: TOTAL points deducted this page: Revised 2014 Pg. 2 of 4 Evaluator's Name: Applicant's Name: ISA Certified Tree Worker Climber Specialist® Skills Test Evaluation Form E. TIE-IN S U Please Please TASK PERFORMANCE CRITERIA Check Circle FINAL TIE-IN Climber chooses technique. Remain tied in at Climber demonstrates final tie-in. all times with lanyard, other end of climbing rope, or second climbing line. Tie in with Evaluator's comment: "Please recognized friction hitch and stopper knot. 35 demonstrate final tie-in." Recognized friction hitchs: tautline hitch, Blake's hitch, Distel, Schwabisch, or French Prusik (VT) Climber must be secured at all times. Failure 102/ to do so will result in termination of the exam. Fail Exam TIME LIMIT ON TYING IN When using a carabiner without a captive eye, Climber demonstrates tying the knot within the knot or eye splice shall cinch or be 102/ maximum time allowed. retained in place to prevent side loading or Fail Exam accidental opening of the gate. Points Deducted Section E: F. HAND CONTACT STATION S U Please Please TASK PERFORMANCE CRITERIA Check Circle FIRST DESIGNATED WORK STATION Climber should never be in a position to fall Climber demonstrates controlled use of (unchecked) greater than 3 feet (0.91 meters). climbing rope. If climber is in a position to fall, he/she should 20 be informed immediately. A second offense will constitute failure. Climber should maintain balanced, controlled, 10 and confident posture. HAND CONTACT OF BELL OR FLAG Climber must touch bell OR flag with hand. 15 Climber approaches bell OR flag. Points Deducted Section F: Explanation of point deduction: TOTAL points deducted this page: Revised 2014 Pg. 3 of 4 Evaluator's Name: Applicant's Name: ISA Certified Tree Worker Climber Specialist® Skills Test Evaluation Form G. POLE SAW/PRUNER WORK STATION S U Please Please TASK PERFORMANCE CRITERIA Check Circle SECOND DESIGNATED WORK STATION Climber should never be in a position to fall (unchecked) greater than 3 feet Climber demonstrates controlled use of (0.91 meters). An uncontrolled swing or slip 20 climbing rope. may lead to an unsatisfactory mark and may not constitute failure. USE OF POLE SAW/PRUNER Climber should maintain balance and 10 confident posture. Climber must request pole be set up from When using a carabiner without a captive ground. Climber demonstrates the use of a eye, the knot or eye splice shall cinch or be 15 pole saw or pruner to reach flagged limb. retained in place to prevent side loading or accidental opening of the gate. Climber should use both hands on pole saw/pruner. 10 Pole saw/pruner safely replaced in tree. 10 Pole saw/pruner safely lowered to ground. Pole saw/pruner cannot be dropped. 10 Points Deducted Section G: H. DESCENT S U Please Please TASK PERFORMANCE CRITERIA Check Circle DESCEND TO GROUND Pull up running end of climbing rope or show 30 figure-8 stopper knot. Climber demonstrates sufficient length of Climber should descend and land in a 102/ rope to reach the ground. controlled manner at a safe speed without Fail Exam damaging rope. TOTAL TIME LIMIT 102/ Must be complete in 30 minutes. Fail Exam Points Deducted Section H: Explanation of point deduction: TOTAL points deducted this page: TOTAL POINTS POSSIBLE = 505 LESS FINAL POINTS DEDUCTED = FINAL SCORE = Revised 2014 Pg. 4 of 4.