Title Page
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Employee name
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Does the employee have a reflective vest and safety footwear?
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Did the employee perform the forklift checklist in an appropriate manner?
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Did the employee use all 3 points of contact when boarding the forklift?
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Did the employee use the seat belt correctly?
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When handling the forklift without a load, Did the employee respect a 3 inches maximum height of the blades with respect to the floor?
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Did he employee remove the object that was on the floor?
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Did the employee use the horn at the pedestrian crossing?
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Did the employee properly stowed the pallets?
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When handling the pallet load, does the employee gather the material towards the mast?
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When handling the pallets above the employee’s visibility height, did the employee drive in reverse?
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At the end of the circuit, did the employee turn and log off the forklift?
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Additional comments
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