AWP OBSERVATION FORM

• Training Type

• Employee Name

• Position

  Journeyman

  Apprentice

  Shop

  Mechanic

  Other

• Branch

• Type of Observation

  New Training

  Renewal

• Conducted on

  Date

• Expiration Date

  Date

• Card Issued

• Distribution Method

  In-person

  Mailed Direct

  Mailed to Branch

• Observed by

• Location
  Address

Basic Skills

• Was the employee able to locate the proper decals for Max Load for the equipment?

  Yes

  No

  N/A

• Did the employee perform an accurate lift inspection?

  Yes

  No

  N/A

• Was the employee familiar with the control box and know how to properly maneuver the machine?

  Yes

  No

  N/A

• When asked was the employee able to properly locate the operations manual on the lift?

  Yes

  No

  N/A

• Did the employee demonstrate proper knowledge of the ground controls in the event of an emergency?

  Yes

  No

  N/A

Safety Precautions

• Did the employee properly ascend the steps into the basket?

  Yes

  No

  N/A

• Did the employee properly pull the chain immediately after stepping onto the platform?

  Yes

  No

  N/A

• If required, did the employee properly anchor himself/herself inside the basket to prevent displacement?

  Yes

  No

  N/A

• Did the employee descend down the steps maintaining three points of contact at all times?

  Yes

  No

  N/A

Maneuverability

• Was the employee able to properly raise/lower the platform without excessive use of controls?

  Yes

  No

  N/A

• Did the employee properly move the lift in the elevated position with excessive use of controls?

  Yes

  No

  N/A

• Was the employee able to move through the pre-determined course and display mastery of controls?

  Yes

  No

  N/A

Conclusion

• Rate the employees ability to operate the lift?

• Did the employee pass the skills assessment?

  Yes

  No

  N/A

• Additional Notes or Suggestions

• Trainer

  Sign