FORKLIFT OPERATOR EVALUATION

• Forklift Operator Evaluation

• Jobsite:

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• Date of Evaluation:

  Date

• Make and Model: (take photo of machine)

  Media

• Superintendent (s):

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• Operator Name:

• Years of Experience:

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• Reason for Evaluation:

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• Evaluated By:

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BEFORE STARTING ENGINE

• Daily Pre-Use Inspection Completed?

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• Perform assessment walk of work area, check of area of operation and surrounding work area for potential hazards

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START UP & MANEUVERING

• Control panel – legible, ensure operation functions are understood

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• Operator turns body and head in direction of travel for best visibility.

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• Looking around for surface problems, avoid those problems

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• Adjust speed to conditions of work area

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• Arms and legs are kept inside operations compartment at all times

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• Steering and Maneuvering

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• Visibility (including restrictions due to loading)

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• Fork and attachment adaptation, operation, limitations

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• Familiar with vehicle capacity & Stability

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• Familiar with refueling

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• Understands operating limitations

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• Familiar with controls and instrumentation: where they are located, what they do, and how they work

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• Familiar with surface conditions where the vehicle will be operated

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• Familiar with material to be delivered and loaded

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• Load manipulation, stacking, and unstacking

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• Pedestrian traffic in areas where the vehicle will be operated. Use of Horn

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• Familiar with hazardous locations where the forklift will be operated

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• Looks before backing

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PARKING

• Ensure machine is lowered all the way and is stopped on as level surface as possible

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• Maintains three points of contact when dismounting. Does not jump off of machine.

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• Building or area access/egress is not blocked.

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EVALUATION

• Based on my evaluation, the operator has completed the evaluation and is qualified to operate the equipment

  Yes

  No