Forklift Battery & Gas Bottle Skill Audit

• Site conducted

  Select

• Date and time of assessment

  Date

• Assessor Name

• Work Location

• Type of Coaching

• New Worker Hire

  Yes

  No

  N/A

• Operator name

• Pepsico GPID (if applicable)

• or Contractor or Company

Department

• New hire / new equipment

  Yes

• Periodic review

  Yes

• Post incident

  Yes

• Other

• Type of P.I.T

• Counter Balance

  Yes

• Reach truck - Standing

  Yes

• Reach truck -sitting

  Yes

• Other

Assessment

• For workers that are new to Pepsico ANZ and are required to operate Powered Inductrial Truck as part of their job role, operators will be assessed as Competent or not yet Competent to the Lift SafeDriving Behaviours (regardless of holding a valid license)

• Skill for assessment

• Gas bottle change

  Yes

• Battery change

  Yes

• Manual battery watering

  Yes

Complies with regulatory and company requirements

• Current valid forklift / Powered Industrial Truck license

  Operator Competent

  Operator Not Yet Competent

• Forklift is parked in a designated area with tynes tilted to ground ready for battery / bottle change, correct position for safe removal of battery / bottle

  Operator Competent

  Operator Not Yet Competent

• Completes pre-operation check and documents, visual inspection of battery or gas bottle prior to use

  Operator Competent

  Operator Not Yet Competent

• Can list / describe hazards associated with battery or gas bottle changing

  Operator Competent

  Operator Not Yet Competent

• Wearing correct personal protective equipment for activity (gloves, apron, face shield / goggles)

  Operator Competent

  Operator Not Yet Competent

• Operator is able to identify safety equipment in the battery / gas bottle area and why it is required (safety shower, MSDS, spill kit, extinguisher)

  Operator Competent

  Operator Not Yet Competent

• Selects correct battery including charging order

  Operator Competent

  Operator Not Yet Competent

Battery Change

• RF unit is turned off before the battery is disconnected

  Select Operator Competent Operator Not Yet Competent

  • Operator Competent
  • Operator Not Yet Competent

• Visually inspect the condition of cable and plugs before disconnecting

  Operator Competent

  Operator Not Yet Competent

• Outline the steps to be taken for defective cables and plugs ie Tag out and Escalate

• Magnet activated and equipment arranged appropriately to allow for the safe change-over of the battery without the battery getting stuck or equipment damaged

  Operator Competent

  Operator Not Yet Competent

• Watering system is disconnected from the charged battery and connected properly to battery requiring charge

  Operator Competent

  Operator Not Yet Competent

• The transfer equipment is used to correctly ensure no manual handling of the battery

  Operator Competent

  Operator Not Yet Competent

• Safety locking devices are in place to stop the battery moving from either the re-charger or the forklift

  Operator Competent

  Operator Not Yet Competent

Gas Bottle Change

• Correct PPE is worn when refuelling –Gloves, safety glasses, cotton dust coat

  Operator Competent

  Operator Not Yet Competent

• Inspect hose and equipment prior to use, and ensure it is a good condition prior to use,

  Operator Competent

  Operator Not Yet Competent

• Outline the steps to be taken for u/s equipment and do not use

• Ensure gas shut off safety lanyard is in place and operational

  Operator Competent

  Operator Not Yet Competent

• Ensure bulk gas storage vessel test and inspection is current

  Operator Competent

  Operator Not Yet Competent

• Ensure forklift gas cylinder test and inspection is current

  Operator Competent

  Operator Not Yet Competent

• Ensure lighting in area is operational at night and adequate

  Operator Competent

  Operator Not Yet Competent

• Make sure to turn the gas bottle valve off before disconnecting gas line

  Operator Competent

  Operator Not Yet Competent

• Unfasten the Security clips that hold the Gas bottle

  Operator Competent

  Operator Not Yet Competent

• Manoeuvre the bottle so that it is accessible to fill from its bracket (try to avoid lifting the bottle, as once it is full it is heavy)

  Operator Competent

  Operator Not Yet Competent

• Connect gas line to bottle valve, Open olive valve, Open line valve press start in gas line compartment

  Operator Competent

  Operator Not Yet Competent

• When liquid starts coming from olive valve close line valve, Olive valve and press stop gas line compartment in that order

  Operator Competent

  Operator Not Yet Competent

• Remove gas line from bottle checking for leaks both visually and audibly

  Operator Competent

  Operator Not Yet Competent

• Place valve cap back on

  Operator Competent

  Operator Not Yet Competent

• Open gas bottle valve

  Operator Competent

  Operator Not Yet Competent

• Refasten security clip that hold the gas bottle

  Operator Competent

  Operator Not Yet Competent

• Operating cabinet must be closed after use

  Operator Competent

  Operator Not Yet Competent

• Ensure all equipment is stored in a safe manner to avoid trip hazards

  Operator Competent

  Operator Not Yet Competent

Assessment result

• Competency Achieved

  Operator Competent

  Operator Not Yet Competent

• Action Plan if need further coaching

• Operator signature

  Sign

• Date

  Date

• Assessor signature

  Sign

• Line manager signature

  Sign

• Date

  Sign

• When skills audit has been completed please select yes to submit.

• Completed Skills Audit

  Yes