Title Page
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Site conducted
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Conducted on
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Prepared by
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Please type your name.
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Employee being evaluated (Last, First)
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Is the employee a full-time or temporary?
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Did the operator inspect the equipment prior to operation?
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Did operator use parking brake correctly?
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Was the operators use of forward/reverse selection proper?
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Did the operator maintain rear-end steering clearance
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Did the operator use the mast operation properly?
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Did the operator display proper lift operation?
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Did the operator display proper use of seat belt/harness?
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Did the operator leave the truck unattended properly? (Brake set, Ignition off, Safe location)
Driving with a load
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Did the operator display smooth starting/stopping?
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Did the operator use proper turning techniques? (Slow down, sound horn)
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Did the operator display proper speed while carrying a load?
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Did the operator obey established traffic patterns?
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Did the operator drive in proper direction while carrying load? ( Forward only when empty, full load should trail driver)
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Did the operator sound the horn at proper times?
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Did the operator avoid pedestrians and yield right of way?
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Was the load centered and square?
Equipment
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What type of equipment is being evaluated
- Sit Down Forklift
- Reach Truck
- Cherry (Order) Picker
- Walker Rider Pallet Jack
- Turret truck
- Scissor Lift
- Floor scrubber, sweeper
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Are they qualified on more than one piece of equipment?
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What other type of equipment has been evaluated?
- Sit Down Forklift
- Reach Truck
- Cherry (Order) Picker
- Walker Rider Pallet Jack
- Turret truck
- Scissor Lift
- Floor scrubber, sweeper
Recommendations
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Is this a new driver to InterDesign?
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how would you rate their performance?
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Do you have any recommendations?
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What is the recommendation?