Information
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Sejong Alabama LLC. - Pack Mule Hands-on Evaluation
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450 Old Fort Road East Ft. Deposit, AL 36032
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Your Name:
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Personnel
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Add media
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Date & Time scan was done.
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Let the operator know you will be observing him/her performing work for approximately 5 minutes and will then provide feedback.
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Please include details on all At Risk findings in spaces below
Daily Inspection
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Did the operator inspect the following items during his/her daily inspection?
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Obvious damage
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Cracked frame welds
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Model tag readable
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Tires (proper inflation and cut free)
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Leaks
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Charging cord unplugged
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Wire insulation undamaged
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Safety strobe light
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Battery Connections
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Steering
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Brakes
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Horn (switch must be turned on)
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Battery discharge indicator
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If leaving vehicle, turn off switch
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2. Is the operator wearing all required PPE correctly and mule card is completed for current shift?
Behavior Based Observations
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3. Is the operator Focused on task?
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4. Backing up less than 5 steps before moving forward?
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6. Looking in direction if travel when using mule?
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8. Is the operator using the appropriate speed for the task and location and maintaining a safe distance from others?
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9. Is the operator yielding to and making eye contact with pedestrians and other operators?
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10. Is the operator using horn while going through doors, around corners,behind people, etc.?
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11. No use of any electronic devices while operating mule?
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12. Is the operator reporting and removing congestion and debris in path?
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13. Is the operator maintaining a safe clearance from obstacles?
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14. Is the operator using two hands to operate the mule when positioning load?
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Operator Signature
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Evaluator Signature
