Information
-
Conducted on
-
Prepared by:
-
Employee Name:
Plant Vehicle
-
Type of plant equipment?
- Counterbalance forklift
- Hand Truck (reach/straddle)
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