Understands and demonstrates proper lifting techniques:

Keeps back straight?

Lifts with legs?

Grabs from opposite corners?

Keeps load close to body?

Does not twist body?

Understands and demonstrates safe forklift practices:

Wears seatbelt while operating lift?

Uses 3 points of contact while climbing on and off forklift?

Operates lift at a safe speed at all times?

Looks direction of travel, does not let load obstruct view?

Keeps blades at safe distance to ground?

Keeps legs, arms and body inside forklift at all times?

Parks forklift with blades on the ground, emergency brake set and forklift turned off?

Understands PPE requirements:

Knows where PPE is located for propane tanks, demonstrates proper changing of tank.

Understands requirements of steel toed shoes?

Understands need for gloves when working with at risk freight?

Trailer Safety

Understands and demonstrates how to properly operate the dock plate?

Understands and demonstrates how to properly raise and lower kinedyne bars?

Understands maximum weight allowed on kinedyne bars?

Understand maximum nose weight before trailer will nose dive?

Understands and demonstrates how to properly secure freight using straps?

Understands and demonstrates how to properly check for trailer nose stands and when they are needed?

Understand and can explain chock on dock procedure?

General Workplace Safety

Understands purpose and need of a clean work environment?

Understands benefit of pushing vs pulling freight?

Understands injury reporting procedures?

Knows where accident and injury information is posted?

Understands spill reporting and response procedures?

Understands earphones are cellphones are a distraction and are not permitted while working?


I have reviewed the above information with the employee and have corrected any areas that were deficient
I have reviewed and understand the above information and understand the expectations to perform my work in a safe manner at all times:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.