Information

  • Site conducted

  • Operator Name & Number

  • Training Conducted

  • Conducted On

  • Conducted By

  • Location

Earth Moving Equipment Evaluation

  • Please select a Written Theory Test

  • Who is directly responsible for the safe operation of the excavator?

  • When should you report any hazards to your supervisor?

  • What is the operator protective structure called?

  • What does the counterweight do?

  • The three main parts of the digging work assembly

  • The maximum rated capacity is

  • The fulcrum point of an excavator

  • If the CG moves outside of the ____________________ it will tip over

  • The most important thing to do before you start digging with your excavator is :

  • In addition to bucket/attachment height, which of the following can seriously affect the stability?

  • Has the operator completed 40 hours of training under the supervision of a qualified person?

  • Qualifed person who supervised operator.

  • What must an operator do before operating the loader backhoe?

  • Where should you look for specific information about the loader backhoe?

  • Before using the Neutral control button, you should:

  • On Some loader backhoes, the tires are filled with.

  • What is ROPS used for?

  • When loading you should never rise and roll back at the same time

  • With a loaded bucket, the operator should travel:

  • Why is "shoring" used?

  • In tight quarters and poor visibility, you should:

  • What are stabilizers used for?

  • Has the operator completed 40 hours of training under the supervision of a qualified person?

  • Qualifed person who supervised operator.

The trainer has reviewed any incorrect answers on this test with trainee and is satisfied with his/her knowledge and understanding of the corrected items.

  • Trainer

  • Trainee

Practical Evaluation Form

INSPECTIONS

  • COMPLETES INSPECTIONS EFFICIENTLY

  • UNDERSTANDS LINE ITEMS WITH INSPECTIONS AND MATCHES THEM CORRECTLY

  • FILL OUT CHECKLIST PROPERLY

  • COMPLETES WORKPLACE INSPECTION PROPERLY

  • OTHER

GENERAL OPERATING PROCEDURES

  • THREE-POINT DISMOUNT

  • FASTENS SEATBELT BEFORE MOVING.

  • CHECK ALL CLEARANCES BEFORE MOVING

  • WARNS OTHERS BEFORE MOVING

  • LOOKS IN DIRECTION OF MACHINE MOVEMENT

  • STAYS WITHIN CAB WHILE MOVING

  • ALL MOVEMENTS SMOOTH AND SAFE

  • KEEPS ATTACHMENT AS LOW AS POSSIBLE

  • REACTS TO ALL SIGNALS CORRECTLY

  • MAINTAINS CONTROL AT ALL TIMES

  • EXHIBITS DUE CARE AN ATTENTION AT ALL TIMES

  • OTHER

BASIC OPERATING PROCEDURES

  • SELECTS AND USES ATTACHMENT PROPERLY

  • WHAT IS THE DEFICIENCY?

  • POSITIONS AND SETS UP PROPERLY FOR TASK/CONDITIONS

  • WHAT IS THE DEFICIENCY?

  • ENSURES LOAD WORK AND STABILITY BEFORE HANDLING

  • WHAT IS THE DEFICIENCY?

  • ENGAGES LOAD/WORKPROPERLY

  • IMPROVEMENT OPPORTUNITY

  • DOES NOT STALL WORK PROCESS

  • WHAT IS THE DEFICIENCY?

  • DEPOSITS SPOLIS/LOAD PROEPRLY

  • WHAT IS THE DEFICIENCY?

  • COMPLETES TASK PROPERLY

  • WHAT IS THE DEFICIENCY?

  • STAYS WITHIN CAPACITY

  • IMPROVEMENT OPPORTUNITY

  • CHANGES ATTACHMENTS PROPERLY

  • IMPROVEMENT

GENERAL SAFETY

  • IS AWARE OF ACTIVITY IN WORK AREA

  • WORKPLACE INSPECTION PERFORMED (UTILITIES)

  • ROPES OFF AREA AS REQUIRED

  • USE OF ALL SAFETY DEVICES (BOOM TRANSPORT & PIVOT LOCKS)

  • UNIT PARKED AND SHUTDOWN PROPERLY

  • IS AWARE OF THE REFUELING PROCESS

EVALUATION

  • OPERATOR'S NAME

  • EVALUATOR'S NAME

  • Select date

  • Theory Test Score

  • Loader Type

  • START TIME HANDS ON TEST

  • FINISHED HANDS ON TEST TIME

  • Total hands on test time

  • Load Count

  • Operator Signature

  • Evaluator Signature

  • Comments

OTHER

  • PASS

  • FAIL

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.