Title Page
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Site conducted
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Conducted on
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Instructor/Auditor Name
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Operator Name
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Department
Pre-Operation
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Does the operator complete the pre-shift safety inspection correctly?
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Does the operator fully understand the capacity information plate?
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Does the operator fully understand the correct deficiency items reporting procedures?
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Does the operator perform daily takeover audits / checks on the forklift they operates?
Operator Safety and Observation
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1. Does the operator mount or dismount the forklift correctly?
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2. Does the operator use the seat belt correctly?
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3. Does the operator keep his/her body parts within the confines of the vehicle?
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4. Does the operator pay attention to the surroundings?
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5. Does the operator look in the direction of travel without getting distracted?
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6. Does the operator use the horn as and when required?
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7. Does the operator follow the correct protocols in case of an unattended vehicle?
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8. Is the operator’s all round safety observation satisfactory?
Steering and Operating Controls
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1. Is the operator able to start and stop smoothly?
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2. Does the operator use the assistor correctly?
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3. Does the operator brake harshly / erratically?
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4. Does the operator ensure the parking brake is released prior to moving off?
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5. Does the operator ride the foot brake?
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6. Does the operator operate the hydraulic controls when the lift truck is in motion?
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7. Does the operator use over head mirrors to see around blind corners?
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8. Does the operator operate the forklift no more then a brisk walking pace speed?
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7. Does the operator able to correctly operate and understands the controls of the forklift?
Competency In Load Capacity
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1. Does the operator match the load with the truck's capacity?
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2. Does the operator check for stability after loading?
Manoeuvring & Transportation
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1. Are loads transported 4-6 inches from the floor?
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2. When operating in reverse, is the operator looking around appropriately?
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3. Is the operator maintaining a speed consistent with the type of load and working conditions?
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4. Is the operator manoeuvring safely with the lift truck and load?
Stacking & De-stacking
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1. Does the operator use the parking brake when operating the hydraulics?
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2. Does the operator use neutral gear when operating the hydraulics?
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3. Are the fork arms central under the load?
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4. Are the fork arms rubbing at any time?
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5. Do the fork tips touch the load?
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6. Are the forks tilted just enough to stabilize the load?
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7. Is the load stacked correctly?
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8. Are the fork arms not fully inserted (undercut)?
Parking
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1. Does the operator correctly apply the park brake?
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2. Does the operator set the direction lever to the neutral position?
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3. Does the operator correctly apply forward tilt?
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4. Does the operator correctly lower the fork arms?
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5. Does the operator manoeuvre the wheels so that they are in-line with the forklift?
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6. Does the operator switch off the forklift and remove the key once parked up?
Re-Fueling
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1. Does the operator allow the engine to stall out before attempting to decouple the propane tank?
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2. Does the operator dawn all required PPE to refuel/recharge the forklift?
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3. Does the operator shut off the forklift?
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4. Does the operator properly open and dismount the propane tank?
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5. Does the operator inspect the O-ring, connectors, etc. before refueling/charging?
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6. Does the operator inspect the new tank/charging station?
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7. Does the operator re-secure tanks and covers?
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8. Does the operator store spent tanks properly in the upright position?
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9. Does the operator stop, look, listen and smell for inspecting the propane tank before attempting to operate?
Trailer Loading and Unloading
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1. Does the operator lockout the truck or place a trailer stand under the trailer prior to beginning?
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2. Does the operator use a dock light to inspect the trailer before entering?
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3. Does the operator stop at the entrance of the trailer while backing up to look for pedestrians?
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4. Does the operator sound their horn to warn at entry points and doorways?
Sign Off
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Signature of Auditor/Instructor
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Signature of Operator Audited