Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Please type your name.

  • Employee being evaluated (Last, First)

  • Is the employee a full-time or temporary?

  • Did the operator inspect the equipment prior to operation?

  • Did operator use parking brake correctly?

  • Was the operators use of forward/reverse selection proper?

  • Did the operator maintain rear-end steering clearance

  • Did the operator use the mast operation properly?

  • Did the operator display proper lift operation?

  • Did the operator display proper use of seat belt/harness?

  • Did the operator leave the truck unattended properly? (Brake set, Ignition off, Safe location)

Driving with a load

  • Did the operator display smooth starting/stopping?

  • Did the operator use proper turning techniques? (Slow down, sound horn)

  • Did the operator display proper speed while carrying a load?

  • Did the operator obey established traffic patterns?

  • Did the operator drive in proper direction while carrying load? ( Forward only when empty, full load should trail driver)

  • Did the operator sound the horn at proper times?

  • Did the operator avoid pedestrians and yield right of way?

  • Was the load centered and square?

Equipment

  • What type of equipment is being evaluated

  • Are they qualified on more than one piece of equipment?

  • What other type of equipment has been evaluated?

Recommendations

  • Is this a new driver to InterDesign?

  • how would you rate their performance?

  • Do you have any recommendations?

  • What is the recommendation?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.