Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Assessor Competancy
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Is the assessor trained and does he/she have a full understanding of the vehicles that they are to assess?
Vehicle Type
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Type of forklift equipment?
- Stand up forklift
- Sit down counter balance
- Rough terrain extendable boom
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Add media
Operator Details
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Has operator completed classroom portion of training?
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Does the operator have a valid certificate of training that has been passed or refreshed within the last three years?
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Date classroom portion of training completed?
Daily Safety Inspection
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The operator completed the safety pre-shift safety inspection correctly?
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The operator understands the correct fault reporting procedures?
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The operator fully understands the capacity information plate?
Operator Safety & Observation
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The operator mounts / dismounts correctly?
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Uses the seatbelt correctly?
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Keeps body parts within the confines of the vehicle?
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Operator looks in the direction of travel?
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Operator slowed down at intersections?
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Operator sounded horn at intersections?
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Operator yielded to pedestrians?
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Follows the correct procedures for an "unattended" vehicle?
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Operator demonstrates proper operation on ramps and other sloped surfaces that would affect stability?
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Operator has good all around safety awareness?
Steering & Operating Controls
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Starts and stops smoothly?
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Gave proper signals when turning?
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Turned corner correctly (aware of rear end swing)?
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Releases the parking brake prior to moving?
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Rough use of hydraulic controls?
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Shows familiarity with truck controls?
Competency In Load Capacity
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Operator matches load with the truck's capacity?
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Operator checks the load for stability?
Maneuvering & Transportation
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Forks at correct height when traveling empty?
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Traveled with load at proper height?
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Forks at correct height when parked?
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When operating in reverse, looking in the direction of travel?
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Operates at a speed consistent with the type of load and working conditions?
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Operator performs safe maneuvering with the lift truck and load?
Stacking & de-stacking
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Raised/lowered load smoothly?
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Operator applies the park brake when operating the hydraulics?
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Operator applies neutral when operating the hydraulics?
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Fork arms centered under the load?
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Fork arms not rubbing (entry / withdrawal)?
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Fork tips enter center of pallet opening?
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Forks / load level?
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Load correctly stacked?
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Fork arms fully inserted?
Parking
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The operator correctly applies the park brake?
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The operator sets the direction lever to the neutral position?
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The operator correctly applies forward tilt?
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The operator correctly lowers the forks?
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The steering wheels are in the straight position?
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The operator switches off and removes the key?
Assessment Recommendations & Evaluations
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Assessor's evaluation of operator safety?
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Comments
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Operator passed evaluation?
Signatures
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Date and time of assessment
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Operator signature
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Assessor signature