ATC Forklift Operator Safety Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Plant Vehicle

• Model

Operator Safety & Observation

• Mounts / dismounts correctly

  Safe

  At Risk

  N/A

• Uses the seat belt correctly

  Safe

  At Risk

  N/A

• Keeps body parts within the confines of the vehicle

  Safe

  At Risk

  N/A

• Looks in the direction of travel

  Safe

  At Risk

  N/A

• Use the horn appropriately

  Safe

  At Risk

  N/A

• Follows the correct procedures for an "unattended" vehicle?

  Safe

  At Risk

  N/A

• Was good all round safety observation

  Safe

  At Risk

  N/A

Steering & Operating Controls

• Starts and stops smoothly

  Safe

  At Risk

  N/A

• Travels unintentionally in the wrong direction

  Safe

  At Risk

  N/A

• Brakes harshly / erratically

  Safe

  At Risk

  N/A

• Releases the parking brake prior to moving off

  Safe

  At Risk

  N/A

• Operates the hydraulic controls when the lift truck is in motion

  Safe

  At Risk

  N/A

• Operates and understands the controls

  Safe

  At Risk

  N/A

Maneuvering & Transportation

• Forks to high when traveling

  Safe

  At Risk

  N/A

• Forks to low when traveling

  Safe

  At Risk

  N/A

• Operates in reverse, looking in the direction of travel to the correct ratio

  Safe

  At Risk

  N/A

• Operates at a speed consistent with the type of load and working conditions?

  Safe

  At Risk

  N/A

• Performs safe maneuvering with the lift truck and load

  Safe

  At Risk

  N/A

Stacking & de-stacking

• Applies the park brake when operating the hydraulics

  Safe

  At Risk

  N/A

• Applies neutral when operating the hydraulics

  Safe

  At Risk

  N/A

• Forks arm central under the load

  Safe

  At Risk

  N/A

• Forks / load not level

  Safe

  At Risk

  N/A

• Stacked load correctly

  Safe

  At Risk

  N/A

Parking

• Correctly applies the park brake

  Safe

  At Risk

  N/A

• Sets the direction lever to the neutral position

  Safe

  At Risk

  N/A

• Correctly applies forward tilt

  Safe

  At Risk

  N/A

• Correctly lowers the fork arms

  Safe

  At Risk

  N/A

• Maneuvers wheels are in the straight position

  Safe

  At Risk

  N/A

• Turns off engine

  Safe

  At Risk

  N/A

Assessment Recommendations & Evaluations

• Overall Evalution of the Operator

  Excellent

  Good

  Satisfactory

  Re-training is advised

• Recommendations