• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Employee Name

  • Vehicle or Model #

Operator able to identify and communicate control functions.

  • Vehicle Steering/ Movement: Forward and Reverse, Right/ Left motion controlled with joystick

  • Brakes: Brakes activated by moving joystick to center position

  • Emergency Stop: Activated by pressing button

  • Platform Travel: Toggle switches control movement

Operator able to adequately perform or exhibit proper operation behavior

  • Proper completion of a Pre-Shift Operational Check<br>

  • Operator takes proper stance on vehicle platform

  • Operator visually checks prior to backing or changing direction

  • Operator exhibits smooth engagement of travel

  • Operator performs proper steering functions

  • Operator safely and correctly navigates inclines or sloped ground

  • Operator maintains safe driving distance of at least 3 truck lengths

  • Operator uses caution around pedestrians and in congested areas

  • Operator does not drive up to pedestrians or fixed objects

  • Operator shows awareness of overhead hazards and vertical obstacles

  • Operator adjusts speed according to the conditions (wet/icy floors, heavy traffic)

  • Operator is able to stop vehicle

  • Operator properly adjusts platform position

  • Operator is able to replicate an emergency stop

  • Operator understands not to park the vehicle so that it blocks exits or travel paths

  • Operator stops the vehicle prior to getting off the vehicle

  • Operator demonstrates ability to properly operate platform from ground control panel

  • Employee has a valid driver's license, or has passed a vision test comparable to the State DMV vision test.

  • Trainer Name

  • Trainer Signature

  • Employee Signature

  • Observation Test Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.