Information

  • Conducted on

  • Prepared by:

  • Employee Name:

Plant Vehicle

  • Type of plant equipment?

Daily Safety Inspection

  • The operator completes the safety Pre-shift safety inspection correctly

  • The operator fully understands the capacity information plate?

  • The operator understands the correct fault reporting procedures?

  • If a fault has been found, the lift truck must be parked up in a safe place and the key removed. The fault must be reported to a member of maintenance and their supervisor.

Operator Safety & Observation

  • The operator mounts / dismounts correctly?

  • Uses the seatbelt correctly?

  • Keeps body parts within the confines of the vehicle?

  • Operator looks in the direction of travel?

  • Correct use of the horn when appropriate?

Steering & Operating Controls

  • Starts and stops smoothly?

  • Travels in the direction of best visibility? ( if forward travel has an obstructed view the operator travels in reverse)

  • Releases the parking brake prior to taking off?

  • Operator rides the foot brake?

  • Operates the hydraulic controls when the lift truck is in motion?

  • Use of hydraulic controls?

  • Operates and understands the controls?

Competency In Load Capacity

  • Operator matches load with the trucks capacity?

  • Operator checks the load for stability?

Manoeuvring & Transportation

  • Forks are 6~8 inches high when traveling?

  • When traveling in reverse, the operator is looking in the direction of travel?

  • Operates at a speed consistent with the type of load and working conditions?

  • Operator performs safe manoeuvring with the lift truck and load!

Stacking & de-stacking

  • Operator applies neutral when operating the hydraulics?

  • Fork arms central under the load?

  • Fork arms not rubbing (entry / withdrawal)?

  • Fork tips touch the stack / load?

  • Forks / load are level?

  • Load correctly stacked?

  • Fork arms not fully inserted (undercut) ?

Parking

  • The operator correctly applies the park brake?

  • The operator sets the direction lever to the neutral position?

  • The operator correctly lowers the fork arms?

  • The operator correctly apples forward tilt?

  • The operator switches off the key?

Assessment Recommendations & Evaluations

  • Assessors evaluation of operator safety?

  • Comments

Signatures

  • Employee Signature

  • Assessor signature

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.