Audit

EVALUATION INFORMATION

Operator name:

Evaluator Name:

Select date
Location:

Reason for evaluation

Forklift Class:
INSPECTION

Does operator follow inspection checklist?

DEMONSTRATES PROPER USE OF CONTROLS:

Clutch:

Inching Control:

Tilt:

Lift:

Attachments:

Steering Mechanism:

BOOM AND LOAD CHART

Demonstrates ability to decipher load chart:

Able to expand/retract boom to given angle and distance settings:

UNATTENDED VEHICLES

Follows proper procedures for an unattended vehicle:

MANUEVERING

Starts and stops smoothly:

Operates at safe speed:

Scans area:

Uses horn when appropriate:

Maintains cushion of safety around truck:

PICKING UP LOAD

Checks capacity and/or load chart prior to lifting load:

Ensures forks are proper width for load:

Checks load for stability:

DRIVING WITH THE LOAD

Travels with load as close to the ground as possible:

Maintains cushion of safety:

Able to drive in reverse with load:

Maintains safe speed:

PLACING LOAD

Approaches destination with load and fork lift square:

Places load safely:

Withdraws truck from load safely:

EVALUATOR SIGNATURE:
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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.