Title Page
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Employee observed
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Location
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Date/Time
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Conducted by
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MHE Observed
- FLT
- MEWP
- LLOP
- MLOP
- VNA
- APM
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Overall level of Safety observed
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Pre-use check completed?
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Correct PPE being worn?
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Is the PPE being worn to a suitable standard?
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Correct use of horn?
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No personal media players / phones in use whilst operating the truck?
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Stock transfer completed safely?
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Pallet loaded/unloaded onto racking at correct angle?
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Drives at a safe speed?
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Slows for corners and intersections?
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Always Wears safety belt?
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Checks aisles before crossing, uses horn at intersections?
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Follows other MHE at a safe distance?
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Yields to pedestrians and other MHE?
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Looks before reversing and in the direction of travel?
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Is the operator carrying the load at a safe height?
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Starts and stops are smooth, not jerking movements?
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Doesn't drive in a manner where the load restricts the view of the operator?
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Operator keeps all body parts within the running lines of the vehicle?
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No passengers?
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MHE correctly immobilised when not manned?
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No accidental contact with racking/stock/pallets/equipment?
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Observee Signature
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Observer Signature
