Forklift Operator Task Observation and Certification

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Section 1: Observations

• Has appropriate licence for plant<br>

  Yes

  No

  N/A

• Licence number

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

  Yes

  No

  N/A

• Conducts pre use safety check

  Yes

  No

  N/A

• Does the operator understand the Manual Controls, Tilt, lift, steering, brake and dashboard instruments

  Yes

  No

  N/A

• Demonstrates how to isolate forklift if required

  Yes

  No

  N/A

• Mounts vehicle correctly

  Yes

  No

  N/A

• Applies Seat Belt

  Yes

  No

  N/A

• Does the operator Demonstrate Smooth Operating Skills

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Demonstrates correct parking and shut down of forklift

  Yes

  No

  N/A

• Type of Equipment

• Rated Capacity

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 body shop?

• 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 body shop?

Section 3: Assessment

• Operator is assessed as

  Competent

  Requiring Further training

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

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

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