MIN O SOU FOR 003 Walk the talk forklift

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

REMEMBER THE 6 STEPS TO SUCCESS! 1 Observe and analyse what is happening 2 Seek clarity - ask questions and opinions, do not tell 3 Understand - Determine why a current situation exists 4 Explain your concerns - explain your expectations 5 Acknowledge good performance 6 Correct - make changes to correct what was seen

OBSERVATION CHECKLIST Communication between team/s Position of people and exposure to hazards Rule and procedure compliance Use of hazard controls including PPE Housekeeping practices Condition of tools and equipment Use of personal risk assessments

• Seatbelt worn

  Observed

  Not Observed

• Forklift driven at appropriate speed

  Observed

  Not Observed

• Tynes in correct position

  Observed

  Not Observed

• Load lifted and carried in an appropriate fashion

  Observed

  Not Observed

• Driver maintains good visual awareness of the area

  Observed

  Not Observed

• Driver looks in direction of motion prior to moving

  Observed

  Not Observed

• Evidence that pre-start inspection completed

  Observed

  Not Observed

• PPE in good order

  Yes

  No

  N/A

Signatures

• Signature of Forklift operator

  Sign

• Signature of Auditor

  Sign