Title Page
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Forklift Operator Evaluation
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Job #
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Manufacturer (s)
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Model (s)
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Date of Evaluation:
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Weather - Select all that apply
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Superintendent (s):
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Operator Name:
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Years of Expierience
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Reason for Evaluation
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Evaluated By
Evaluation
BEFORE STARTING ENGINE
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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
START UP & MANEUVERING
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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
PARKING
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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.
EVALUATION
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Based on my evaluation, the operator has completed the evaluation and is qualified to operate the equipment
