Nikkis OSHBOX Operator Competency Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Name:

• Date:

  Date

• Position

• Plant Type:

• Make/Model

• Is the operator required to hold additional licences or certifications?

  Yes

  No

  N/A

• Does the operator hold a NZ Licence for this class of machine?

  Yes

  No

  N/A

• Licence Issued By:

• Licence No:

• Expiry Date:

• Endorsements:

Assessment

• Has the operator received any formal training on this machine

  Yes

  No

  N/A

• What training has been completed?

• Is the operator wearing the correct PPE and is it in good condition

  Pass

  Fail

  N/A

  Training required

• Is the operator familiar with the Safe Operating Procedures for this machine

  Pass

  Fail

  N/A

  Training required

• Did the operator do a walk around prior to the pre start inspection

  Pass

  Fail

  N/A

  Training required

• Did the operator undertake a pre start inspection?

  Pass

  Fail

  N/A

  Training required

• Did the operator demonstrate proper procedures for starting the machine

  Pass

  Fail

  N/A

  Training required

• Did the operator demonstrate proper procedures for moving the machine

  Pass

  Fail

  N/A

  Training required

• Did the operator correctly assess the conditions before moving the machine?

  Pass

  Fail

  N/A

  Training required

• Was the machine being operated in a safe and controlled manner?

  Pass

  Fail

  N/A

  Training required

• Did the operator demonstrate the correct shut down procedures?

  Pass

  Fail

  N/A

  Training required

• Has the operator shown competence in identifying, recording and notifying hazards?

  Pass

  Fail

  N/A

  Training required

• Is the operator aware of the requirement to record all accidents and incidents

  Pass

  Fail

  N/A

  Training required

• Does the operator understand the Emergency Procedures and Evacuation Area?

  Pass

  Fail

  N/A

  Training required

• Comments

• Junior (Supervised at all times)

• Assessor Sign

  Sign

• Intermediate (Unsupervised in dry conditions)

• Assessor Signed

  Sign

• Senior (Unsupervised)

• Assessor Signed

  Sign