Title Page

  • Forklift Operator Evaluation Form

  • Conducted on

  • Operator Name

  • Evaluator Name

  • Equipment Operated

  • Location

Safety inspections

  • Completes pre-operational forklift safety inspection and sight checklist

  • Knows how to report faults or unsafe equipment

Pick up load

  • Wears seatbelt (if applicable)

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

  • Confirms weight of load prior to lifting & confirms safe work load with capacity plate of forklift

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

  • Load rests on backrest, forklift stopped prior to lifting

  • Lifts load smoothly to safe travel height, tilts mast to stabilise load prior to driving off

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

Travel

  • Travels at safe speed (no abrupt braking or turning)

  • Observes safety rules (uses horn at intersections and blind spots)<br>

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

  • Maintains exclusion zone around forklift during operation (3m + height of tines)

Place load

  • Manoeuvres forklift safely into position square to racking with clearance to enter or stop (uses park break if applicable)

  • Allows sufficient clearance between load and unload areas to successfully lift load

  • Slowly lifts load to required height to allow safe clearence of load to racking

  • Safely drives into racking without contact with sides of racking

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

  • Safely lowers tines to just above ground level while completely stopped (no moving with raised tines)

Parking

  • Fully lower the forks.<br>

  • Neutralize the controls.<br>

  • Set the brakes.<br>

  • Turn off the power. <br>

Assessors recommendation

  • Forklift operator assessed as competent

  • Assessor signature

  • Operator signature

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