Title Page
EVALUATION INFORMATION
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Operator name:
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Evaluator Name:
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Select date
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Location:
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Reason for evaluation
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Forklift Class:
- Class I (Electric Rider Trucks)
- Class II (Electric Motor Narrow Aisle Trucks)
- Class IIi (Electric Motor Hand Trucks or Hand/Rider Trucks)
- Class IV (Internal Combustion Engine Trucks (Solid/Cushion Tires)
- Class V (Internal Combustion Engine / Pneumatic Tires)
- Class VI (Electric and Internal Combustion Engine Tractors)
- Class VII (Rough Terrain Forklift Trucks)
INSPECTION
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Does operator follow inspection checklist?
DEMONSTRATES PROPER USE OF CONTROLS:
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Clutch:
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Inching Control:
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Tilt:
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Lift:
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Attachments:
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Steering Mechanism:
BOOM AND LOAD CHART
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Demonstrates ability to decipher load chart:
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Able to expand/retract boom to given angle and distance settings:
UNATTENDED VEHICLES
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Follows proper procedures for an unattended vehicle:
MANUEVERING
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Starts and stops smoothly:
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Operates at safe speed:
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Scans area:
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Uses horn when appropriate:
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Maintains cushion of safety around truck:
PICKING UP LOAD
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Checks capacity and/or load chart prior to lifting load:
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Ensures forks are proper width for load:
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Checks load for stability:
DRIVING WITH THE LOAD
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Travels with load as close to the ground as possible:
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Maintains cushion of safety:
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Able to drive in reverse with load:
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Maintains safe speed:
PLACING LOAD
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Approaches destination with load and fork lift square:
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Places load safely:
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Withdraws truck from load safely:
EVALUATOR SIGNATURE:
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