Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section 1: Observations

  • Has appropriate licence for plant<br>

  • Licence number

  • Has appropriate PPE for task (safety glasses and hi vis vest)

  • Conducts pre use safety check

  • Demonstrates how to isolate plant if required

  • Mounts vehicle correctly

  • Applies Seat Belt

  • Demonstrates correct procedure for raising and lowering loads (e.g. while stationery)

  • Demonstrates correct procedure for approaching blind corner / pedestrian access area

  • Demonstrates correct parking and shut down of plant

Section 2: Questions

  • Why is a forklift considered to be a high risk piece of equipment? What are some of the control measures in place to prevent accidents from occurring?

  • Who would you speak to if you had a question or needed to report and accident or near miss?

  • Where are you not allowed to park a forklift in the warehouse?

  • When is it necessary to drive in reverse?

  • What is the maximum height and weight that can be carried safely on the forklift you are driving?

  • How do you travel on gradients?

  • How do you isolate a forklift?

  • When should you use your forklift horn?

  • What do you do when approaching a pedestrian in the warehouse?

Section 3: Assessment

  • Operator is assessed as

  • Additional comments on assessment (optional)

  • OBSERVER: I have observed this operator performing these tasks to KCA standards. He/she has demonstrated an understanding of the hazards and risks of this task.

  • OPERATOR: I understand the hazards and risks associated with this task. I agree to perform these tasks to KCA standards.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.