Title Page

  • Forklift Operator Evaluation

  • Job #

  • Manufacturer (s)

  • Model (s)

  • Date of Evaluation:

  • Weather - Select all that apply

  • Superintendent (s):

  • Operator Name:

  • Years of Expierience

  • Reason for Evaluation

  • Evaluated By

Evaluation

BEFORE STARTING ENGINE

  • Daily Pre-Use Inspection Completed?

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

START UP & MANEUVERING

  • Control panel – legible, ensure operation functions are understood

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

  • Looking around for surface problems, avoid those problems

  • Adjust speed to conditions of work area

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

  • Steering and Maneuvering

  • Visibility (including restrictions due to loading)

  • Fork and attachment adaptation, operation, limitations

  • Familiar with vehicle capacity & Stability

  • Familiar with refueling

  • Understands operating limitations

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

  • Familiar with surface conditions where the vehicle will be operated

  • Familiar with material to be delivered and loaded

  • Load manipulation, stacking, and unstacking

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

  • Familiar with hazardous locations where the forklift will be operated

  • Looks before backing

PARKING

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

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

  • Building or area access/egress is not blocked.

EVALUATION

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

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