MHE Fit To Drive

• Department conducted

• Conducted on

  Date

• Prepared by Andi Mavis

  Sign
• Location/Task
  Address

• Name of Operator

  Yes

  No

  N/A

• MHE type/Fleet number

  Yes

  No

  N/A

• Pre Use Check Complete (Attach Photo & If not complete & conduct a full evaluation)

  Yes

  No

  N/A

• Is Operator acting accordingly to training, observing hazards and work areas

  Yes

  No

  N/A

• Describe Fork Height if Unladen

• Yes

  No

  N/A

ACOP

• Safe Speed (and/or but not limited to) Mast correct position for above ground tasks

  Yes

  No

  N/A

• Was an immediate toolbox talk required.

  Yes

  No

  N/A

• Fit to drive

  Yes

  No

  N/A

• WHAT WAS THE LEVEL OF COMPETENCE DISPLAYED BY THE FLT OPERATOR. 1 - 7 Unsafe refer to training. 8-10 Safe and competent.

• Signature of Operator

  Sign

• Signature of Instructor - Andi Mavis

  Sign