FORKLIFT COMPETENCY ASSESSMENT - NEWCASTLE DC22

• Audit Title

• Conducted on

  Date

SAFETY INSPECTIONS

• Completes pre-operational forklift safety inspection & site checklist

  Yes

  No

  N/A

• Knows how to report faults or unsafe equipment

  Yes

  No

  N/A

PICK UP LOAD

• Wears seat belt, (if applicable).

  Yes

  No

  N/A

• Checks pallet/load for safety (i.e. damages, loose boards or cartons, etc..)

  Yes

  No

  N/A

• Confirms weight of load prior to lifting & confirms Safe Work Load (SWL) with capacity plate of fork

  Yes

  No

  N/A

• Aligns fork square with load & drives forward slowly, tines level with clearance.

  Yes

  No

  N/A

• Load rests on backrest, forklift stopped, prior to lifting

  Yes

  No

  N/A

• Lifts load smoothly to safe travel height clear of floor/racking or pallet stack, tilts mast to stabilise load prior to moving off.

  Yes

  No

  N/A

• Checks over shoulder & mirror (if applicable) prior to reversing or moving off

  Yes

  No

  N/A

• Maintains 3m exclusion zone around forklift during operation

  Yes

  No

  N/A

TRAVEL

• Travels at safe speed (no abrupt speed, turns, changes in direction<br>or braking)

  Yes

  No

  N/A

• Observes safety rules (uses horn at intersection or blind spots, etc..)

  Yes

  No

  N/A

• Travels with load facing correct direction (i.e. uphill on incline)

  Yes

  No

  N/A

• Maintains 3m exclusion zone around forklift during operation

  Yes

  No

  N/A

PLACE LOAD

• Manoeuvres forklift safely into position square to racking & stops (uses park brake if applicable). No part of forklift is within racking.

  Yes

  No

  N/A

• Allows sufficient safe clearance between tines & racking to lift load (for all racking including drive in).

  Yes

  No

  N/A

• Slowly lifts load to required height to allow safe clearance of load to racking (i.e. 50mm)

  Yes

  No

  N/A

• Safely drives into racking without contacting parts & stops (applies park brake if applicable)

  Yes

  No

  N/A

• Lowers load slowly/safely onto racking then lowers tines to acceptable clearance so they can be removed

  Yes

  No

  N/A

• Performs shoulder checks & check mirror (if applicable) before reversing from load

  Yes

  No

  N/A

• Reverses straight back slowly/safely without contact with objects and stops with clearance to objects to lower tines safely

  Yes

  No

  N/A

• Safely lowers tines to just above ground level whilst completely stopped (NO moving off with raised tines)

  Yes

  No

  N/A

• Check mirror (if applicable) and performs shoulder check prior to moving off

  Yes

  No

  N/A

• Maintains 3m exclusion zone plus height of mast around forklift during all operations

  Yes

  No

  N/A

ASSESSORS RECOMMENDATION

• Forklift Operator assessed as competent

  Yes

  No

  N/A

• Enter name & signature of Assessor

  Sign

• Enter name & signature of Forklift Operator

  Sign