Competency Assessment Form: Concrete Core Drilling Machine

This competency assessment form is designed to evaluate an individual's ability to safely operate a concrete core drilling machine. It includes sections for hazard identification, risk assessment, and control measures, ensuring that operators are aware of potential dangers and can mitigate risks effectively. This form is based on industry best practices and regulatory requirements to promote a safe working environment.

Operator Information

Employee Name:

Employee ID:

Department:

Date of Assessment:

Assessor Name:

Experience with Core Drilling:

Equipment Details

Manufacturer:

Model:

Serial Number:

Maximum Drilling Diameter:

Power Source (Electric/Hydraulic):

Pre-Operational Checks

Inspect the core drilling machine for any visible damage or defects.

Check the power cord (if electric) or hydraulic lines (if hydraulic) for wear and tear.

Verify that all safety guards and shields are in place and functioning correctly.

Ensure the drill bit is appropriate for the material being drilled and is securely attached.

Confirm that the water supply system (if applicable) is functioning correctly to control dust and cool the drill bit.

Operational Procedures

Demonstrates proper startup and shutdown procedures.

Maintains a stable and secure grip on the machine during operation.

Applies appropriate pressure and feed rate for efficient and safe drilling.

Monitors the drilling process for any signs of overheating, excessive vibration, or other issues.

Uses appropriate techniques to prevent the drill bit from binding or wandering.

Hazard Identification and Risk Assessment

The goal of hazard identification is to find and record possible hazards that may be present in the workplace. It may help to work as a team and include people familiar with the work area, as well as people who are not - this way, you have both experienced and fresh eyes to conduct the inspection. [3]

Complete the table below to identify potential hazards, assess the associated risks, and determine appropriate control measures.

Step/Task	Hazard	Risk (Low, Medium, High)	Control Measures
Setup	Pinch points on machines (places where parts are very close together).	Medium	Ensure guards are in place; maintain safe distances.
Operation	Moving objects (conveyors, chains, belts, ropes, etc.)	High	Use machine guarding and PPE.
Drilling	Dust inhalation	Medium	Use water suppression or dust collection systems; wear a respirator.
Handling Core Samples	Sharp or jagged edges.	Medium	Wear gloves; use appropriate tools for handling.
Maintenance	Contact with electricity.	High	Lockout/tagout procedures; qualified personnel only.

Risk Assessment Matrix

Use the following risk matrix to determine the risk level for each identified hazard.

	Low Severity	Medium Severity	High Severity
Low Probability	Very Low Risk	Low Risk	Medium Risk
Medium Probability	Low Risk	High Risk	High Risk
High Probability	Medium Risk	High Risk	Immediately Dangerous

Severity Ratings:

High severity: fatal disease or injury, permanent disability, irreversible health effects, major fracture, poisoning, significant loss of blood, or serious head injury. [1] [2]

Medium severity: sprain, strain, localized burn, dermatitis, asthma, injury requiring limited days off work [1] [2]

Low severity: an injury that requires first aid only; short-term pain, irritation, or dizziness [1] [2]

Probability Ratings:

High probability: likely to be experienced once a year or more by an individual [1] [2]

Medium probability: may be experienced once every five years by an individual [1] [2]

Low probability: may occur once during a working lifetime [1] [2]

Control Measures

Engineering Controls:

Use machine guards to prevent contact with moving parts.

Implement water suppression or dust collection systems to control dust exposure.

Ensure proper ventilation in the work area.

Administrative Controls:

Develop and implement safe work procedures for core drilling operations.

Provide comprehensive training on the safe operation of the core drilling machine.

Implement a lockout/tagout procedure for maintenance and repair work.

Conduct regular inspections of the core drilling machine and associated equipment.

Personal Protective Equipment (PPE):

Wear appropriate eye protection (safety glasses or goggles) to protect against flying debris.

Use hearing protection (earplugs or earmuffs) when operating the core drilling machine in noisy environments.

Wear respiratory protection (respirator) when dust exposure is a concern.

Use gloves to protect hands from cuts, abrasions, and chemical exposure.

Wear appropriate footwear (safety shoes) to protect feet from falling objects and sharp edges.

Emergency Procedures

Ensure that emergency stop buttons are easily accessible and functioning correctly.

Establish a clear evacuation plan in case of fire or other emergencies.

Provide first aid training and supplies on-site.

Ensure that all workers know how to report incidents and near misses.

Competency Assessment Checklist

The operator must demonstrate competence in the following areas:

• Understanding of core drilling machine operation and safety features.
• Ability to perform pre-operational checks.
• Proper use of PPE.
• Safe drilling techniques.
• Hazard identification and risk assessment.
• Emergency procedures.

Assessment Results

Overall Competency:

Pass

Fail

Comments:

Corrective Actions Required (if applicable):

Signatures

Employee Signature:

Assessor Signature:

Date:

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