FMA Water Truck Operator Skill Evaluation

• Water Truck Operator Skill Evaluation

• Client / Site

• Conducted on

  Date

• Instructor

• Operator Name:

• Payroll Number:

• Crew:

• Truck Number:

Spotting At Water Stands

• Proper approach to water stand.

  Yes

  No

  N/A

• Enter details of observations:

• Proper waiting & staging procedures.

  Yes

  No

  N/A

• Enter details of observations:

• Proper loading procedures.

  Yes

  No

  N/A

• Enter details of observations:

Road Travel & Stockpiles

• Appropriate travel speed to road conditions.

  Yes

  No

  N/A

• Enter details of observations:

• Proper radio communication.

  Yes

  No

  N/A

• Enter details of observations:

• Proper following distance.

  Yes

  No

  N/A

• Enter details of observations:

• Goes around all spillage.

  Yes

  No

  N/A

• Enter details of observations:

• Uses flashers when utilizing oncoming lane.

  Yes

  No

  N/A

• Enter details of observations:

• Stays proper distance from berm.

  Yes

  No

  N/A

• Enter details of observations:

• Proper use of right of way.

  Yes

  No

  N/A

• Enter details of observations:

• Avoids problem areas, soft spots and intersections.

  Yes

  No

  N/A

• Enter details of observations:

• Spot sprays.

  Yes

  No

  N/A

• Enter details of observations:

• Use of flashers on stockpiles.

  Yes

  No

  N/A

• Enter details of observations:

• Stays 50 feet from crest of stockpile.

  Yes

  No

  N/A

• Enter details of observations:

Bank Sprays & Shovel Pits

• Proper radio communication.

  Yes

  No

  N/A

• Enter details of observations:

• Proper distance from drill.

  Yes

  No

  N/A

• Enter details of observations:

• Parallel to drill.

  Yes

  No

  N/A

• Enter details of observations:

• Proper drill service.

  Yes

  No

  N/A

• Enter details of observations:

General

• Wears PPE at all times.

  Yes

  No

  N/A

• Enter details of observations:

• ACTION PLAN

• Instructor Signature

  Sign

• Operator Signature

  Sign

• Revision 1.0 iCloud posted document is the controlled copy. 07/09/13