Title Page
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Document no
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CMO LO operator
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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
Full pallets
Replenishments
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Operator can confirm location of data plate and understands capacity safe working limits
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Battery charger has been dislodged safely and cable put away safely
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Pre start has been completed on the fleet focus screen and filled out correctly
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Harness has been checked thoroughly for wear and tear and fitted on appropiately
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Operator has checked surroundings for obstructions, hazards, pedestrians and maintained housekeeping before starting
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Operator is wearing correct PPE
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Operator has been assessed and trained to operate LO
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Operator is authorised and has a HRW licence and is carrying their licence
Put Aways
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Operator can confirm the pallet is in the WMS and double check it is in the system to confirm it is in the correct location
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Pallet was put away safely without any problems or hitting anything during the task
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Operator checks quality of pallet; pallet wrap is secure, re stack pallet if not stacked properly
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Operator understands how to scan pallets
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Operator confirms location after pallet is stored away
Relocation
WH&S
Competent
Overall performance
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Select date
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Performance estimate =
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LO operator name
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LO operator signature
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Auditor name
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Auditor signature