MDI Equipment Certification Checklist
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Location Conducted:
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Date Conducted:
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Training Type:
- New Employee
- Re-Certification
- Accident or Near-Miss Accident
- Workplace or Equipment Change
- Observed Unsafe Action
- Determined by Evaluation
- Refridge Equipment Spotter
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Equipment Trained On
- Scrubber
- Sweeper
- Pallet Jack
- Center Rider Jack
- Forklift
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Employee's Name:
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Employee ID #:
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Trainer's Name:
Sweeper and Scrubber Operation Checklist
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1. Should we always check the equipment before using it and make sure the machine is operating properly? (ie., brakes, horn, safety devices, etc.)
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Check Equipment by walking around it for body damage
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Check motor oil level and hydraulic oil level
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Rotate the main sweeper brush and fill out equipment card
End of Each Shift:
Sweeper
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Dump the trash out of the hopper
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Remove sticks, strings, and plastic from main sweeper brush
Scrubber
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Empty the water tank
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Empty and wash out tray
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Wash inside of the tank out
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2. Should the sweeper or scrubber be equipped with a seatbelt and should the operator wear it when operating the machine?
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3. Should I drive the sweeper/scrubber up to a person standing in front of a fixed object?
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4. Should I operate and drive the sweeper through standing water?
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5. Should the operator sound the horn when entering and exiting aisles, at cross aisles, and at blind intersections?
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6. The operator must operate at a safe speed when operating the sweeper/scrubber on wet surfaces or inclines.
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7. Should the operator dump the hopper from the dock into a dumpster outside the building instead of dumping the hopper into the trash buggy?
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8. When you are finished using the sweeper/scrubber, whose responsibility to properly clean the machine for the next person and return it to the trash dock area?
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9. ALWAYS use care when changing a tank on the sweeper/scrubber. Run the machine until the tank is completely empty. It is mandatory that I use gloves and a face shield when changing out the tank to avoid frostbite-type injuries to the face and hands.
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By signing this form I acknowledge that I have received training on how to safely operate the sweeper/scrubber and I agree to abide by all applicable safety guidelines.
Tennant Scrubber & Sweeper Quiz
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Read each question and circle the response that most fully answers the question.
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1. When operating the Tennant Scrubber/Sweeper seatbelts:
- A. Don't have to be worn
- B. Must be worn if equipped.
- C. Must be worn only if the supervisor is around.
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2. While operating the scrubber/sweeper, who has the right of way?
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3. When changing the propane tank on the scrubber/sweeper:
- A. Do not unhook while running
- B. Turn the tank valve off before shutting off the equipment.
- C. All of the above
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4. Inspection on the scrubber/sweeper should be done:
- A. Once a day
- B. Once a month
- C. Once a year
- D. Before the start of each shift
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5. When traveling with the scrubber/sweeper:
- A. Travel as fast as it will go
- B. Operate at a safe speed when on wet surfaces or inclines.
- C. Travel in reverse to keep the water/trash from falling out.
Merchants Distributors, Inc.<br><br>Warehouse Equipment Certification Checklist
Equipment Type
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Was refresher training completed
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Equipment Certified On:
- Scrubber
- Sweeper
- Pallet Jack
- Center Rider Jack
- Forklift
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Date
Equipment Area Tested
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Horn Use
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Product Handling
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Right of Way Rule
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Travel Speed
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Proper Footwear
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Unsafe Actions
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Vision
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Ammonia Hazard
Certification
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The training was done in the areas needed, determined from the reasons listed above. The training included all applicable equipment and consisted of the following: 1. Instruction (both classroom-type and practical training) in proper vehicle operation. 2. Hazards of operating in the workplace. 3. Emphasis on safe and proper operation and possible results in not complying. Note: Classroom instruction can consist of methods such as discussions, review of printed materials, or viewing of videos. Discussions will consist of the trainer talking to the trainee and explaining the training material, either in the workplace or in another location. Training must be done by someone with the requisite knowledge, training, and experience.
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Date & Time
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Employee Name & Signature: (First and Last Name Typed Here)
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Department
- Freezer
- Perishables
- Dry Grocery
- Mezzanine
- Oliver's Pallets
- Returns
- Transportation
- Office
- Sanitation
- Maintenance
- CSI
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Employee ID #:
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Trainer's Name & Signature: (First and Last Name Typed Here)
SOP Procedures for Pre and Post Scrubber and Sweeper Operations
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I have read and been trained in the above Standard Operating Procedures for Scrubber and Sweeper operations. I understand that as the business evolves it may be necessary to make changes due to customers, products, business needs, and the safety of products. I will follow outlined Standard Operating Procedure while performing the functions of my duties.
