OSHBOX 1234567 Operator Competency Checklist 2024

• Assessment Date

  Date

• Operator (being assessed)

• Position/Role

• Has the Operator had any prior experience with operating this type of machine

  Yes

  No

  N/A

• Provide details

• Plant/Machinery

• Make/Model

  Yes

  No

  N/A

• Operator holds a NZ License for this machine

• Operator is required to hold a NZ License for this machine

• Is the Operator required to hold any additional licenses or certifications?

• Provide details

• Assessor Name

• Position/Role

• Location of Assessment
  Address

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

• Refresher assessment is required as part of company training procedures

Authorisations

• By signing, this is to certify that the operator named herein has been formally assessed and is considered to be competent and authorised to operate the machine specified above without supervision

  Sign

• Does this cover other plant/machinery not specified?

  Yes

  No

  N/A

• Provide a list of plant/machinery this assessment also covers the Operator as being competent in

• By signing, the operator acknowledges that he/she is considered competent to operate machine without supervision and will voice any concerns before operating machine if in any doubt.

  Sign

• Junior (Supervised at all times)

• Assessor Sign

  Sign

• Intermediate (Unsupervised in dry conditions)

• Assessor Signed

  Sign

• Senior (Unsupervised)

• Assessor Signed

  Sign