2021 Forklift Practical Exam

• Site conducted

  Select

• Conducted on

  Date

• Trainer Name

• Associate Name

• Department of Associate

  Select

PRIOR TO USE

• Perform inspection

  Yes

  No

  N/A

• Circle check review

  Yes

  No

  N/A

• Nameplate review

  Yes

  No

  N/A

TRAVEL GENERAL

• Seatbelt on

  Yes

  No

  N/A

• Looks around

  Yes

  No

  N/A

• Forks 4” off ground

  Yes

  No

  N/A

• Smooth acceleration

  Yes

  No

  N/A

• Faces direction of travel

  Yes

  No

  N/A

• Body inside truck lines

  Yes

  No

  N/A

Blind Corner

• Slows down

  Yes

  No

  N/A

• Full stop

  Yes

  No

  N/A

• Sounds horn

  Yes

  No

  N/A

Turning with No Load

• Smooth, gradual turn

  Yes

  No

  N/A

• Check pivot point

  Yes

  No

  N/A

• Check rear end swing

  Yes

  No

  N/A

• Proceeds with caution

  Yes

  No

  N/A

TRAVEL WITH A LOAD

• No lifting or tilting load while driving

  Yes

  No

  N/A

• Check behind

  Yes

  No

  N/A

• Smooth exit

  Yes

  No

  N/A

• Faces direction of travel

  Yes

  No

  N/A

• Body inside truck lines

  Yes

  No

  N/A

Traveling in Reverse

• Check behind

  Yes

  No

  N/A

• Smooth exit

  Yes

  No

  N/A

• Faces direction of travel

  Yes

  No

  N/A

• Body inside truck lines

  Yes

  No

  N/A

Turning

• Smooth, gradual turn

  Yes

  No

  N/A

• Check pivot point

  Yes

  No

  N/A

• Check load swing

  Yes

  No

  N/A

• Check rear end swing

  Yes

  No

  N/A

PARKING TRUCK

• Lowers fork/tips down

  Yes

  No

  N/A

• Controls in neutral

  Yes

  No

  N/A

• Parking brake on

  Yes

  No

  N/A

• Key off/removed

  Yes

  No

  N/A

STACKING/RACKING

• Square with stack/rack

  Yes

  No

  N/A

• Load centered

  Yes

  No

  N/A

• Full stop

  Yes

  No

  N/A

• Correct distance away

  Yes

  No

  N/A

Lifting Forks

• Correct level selection

  Yes

  No

  N/A

• Smooth use of controls

  Yes

  No

  N/A

• No moving while lifting

  Yes

  No

  N/A

• Stops at correct height

  Yes

  No

  N/A

Entering Pallet

• Forks level

  Yes

  No

  N/A

• Proper tip height

  Yes

  No

  N/A

• Smooth/gradual

  Yes

  No

  N/A

Lifting Load

• Forks under load (max)

  Yes

  No

  N/A

• Load on squarely

  Yes

  No

  N/A

• Load centered on forks

  Yes

  No

  N/A

Lowering Load

• Checks behind

  Yes

  No

  N/A

• Truck is stopped

  Yes

  No

  N/A

• No moving while lowering

  Yes

  No

  N/A

• Smooth use of controls

  Yes

  No

  N/A

• Load 4-6” off floor

  Yes

  No

  N/A

Depositing Load

• No moving while lowering

  Yes

  No

  N/A

• Load square

  Yes

  No

  N/A

• Tilts forward

  Yes

  No

  N/A

REMINDERS

• Do not park on ramps/inclines

• Do not park at blind corners

• Do not park where emergency routes are blocked

• Do not park in front of exits/doorways

Internal Combustion Trucks

• Is the associate being trained on an internal combustion forklift?

  Yes

  No

• Shown how to change out tank

• Reinforce PPE to be worn to change tank

• Where are full/empty cylinders stored

Electric Trucks

• Is the associate being trained on an internal combustion forklift?

  Yes

  No

• Reviewed dangers of battery gases

  Yes

  No

  N/A

• Shown how to charge battery safely/efficiently

  Yes

  No

  N/A

• Trained Successfully to Operate:

  Propane

  Electric

  Gas/Diesel

• Trainer Signature

  Sign

• Associate Signature

  Sign

• Authorized?

  Select Passed and Authorized Failed Passed First Evaluation But Not Authorized - 30 Day follow Up Required

  • Passed and Authorized
  • Failed
  • Passed First Evaluation But Not Authorized - 30 Day follow Up Required