Information

  • Associate Name:

  • People Soft #:

  • Shift:

  • Conducted on

  • Prepared by

  • Location
  • MHE type:

  • Drives no faster than a fast walking pace (5MPH)?

  • Slows for corners and intersections?

  • Obeys all traffic control devices?

  • Wear safety belt?

  • Checks aisles before crossing, honks horn at intersections?

  • Yields to pedestrians and other lift trucks?

  • Looks before backing and in the direction of travel?

  • Starts and stops are smooth, not jerking movements?

  • Doesn't drive in a manner where the load restricts the view of the operator?

  • Driver keeps all body parts within the running lines of the vehicle?

  • Makes a complete stop before crossing a curtain door.

  • Skill in Methods

  • Effort Level

  • Performance Estimate.

  • Select from range

  • Time Utilization

  • 1. Convey Positive Intent.

  • 2. Describe behaviors and actions observed.

  • 3. State impacted of desired coachable behavior (s).

  • 4. Ask associate to respond.

  • 5. Focus discussion on solution.

  • Associate Signature:

  • Supervisor Signature:

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.