• Let the operator know you will be observing him/her performing work for approximately 5 minutes and will then provide feedback.

  • Please include details on all At Risk findings in spaces below

Behavior Based Observations

  • 1. Identified 1-3 items the operator is doing safetly. (List Below)

  • 2. Is the operator wearing all required PPE correctly and mule card is completed for current shift?

  • 3. Is the operator Focused on task?

  • 4. Backing up less than 5 steps before moving forward?

  • 5. Hauling a maximum of 2 equilibrators at a time?

  • 6. Looking in direction if travel when using mule?

  • 7. Are operators traveling with forks trailing, except when positioning load or traveling up ramp?

  • 8. Is the operator using the appropriate speed for the task and location and maintaining a safe distance from others?

  • 9. Is the operator yielding to and making eye contact with pedestrians and other operators?

  • 10. Is the operator using horn while going through doors, around corners,behind people, etc.?

  • 11. No use of any electronic devices while operating mule?

  • 12. Is the operator reporting and removing congestion and debris in path?

  • 13. Is the operator maintaining a safe clearance from obstacles?

  • 14. Is the operator using two hands to operate the mule when positioning load?

  • 15. Are both hands inside guarded handle vs. grabbing on the outside?

  • 16. Is the operator parking the mule in a safe, level area with forks lowered?

  • 17. Does the operator have a brown mule sticker on their helmet? Is it current?

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