Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Employee Name
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Vehicle or Model #
Operator able to identify and communicate control functions.
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Vehicle Steering/ Movement: Forward and Reverse, Right/ Left motion controlled with joystick
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Brakes: Brakes activated by moving joystick to center position
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Emergency Stop: Activated by pressing button
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Platform Travel: Toggle switches control movement
Operator able to adequately perform or exhibit proper operation behavior
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Proper completion of a Pre-Shift Operational Check<br>
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Operator takes proper stance on vehicle platform
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Operator visually checks prior to backing or changing direction
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Operator exhibits smooth engagement of travel
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Operator performs proper steering functions
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Operator safely and correctly navigates inclines or sloped ground
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Operator maintains safe driving distance of at least 3 truck lengths
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Operator uses caution around pedestrians and in congested areas
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Operator does not drive up to pedestrians or fixed objects
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Operator shows awareness of overhead hazards and vertical obstacles
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Operator adjusts speed according to the conditions (wet/icy floors, heavy traffic)
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Operator is able to stop vehicle
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Operator properly adjusts platform position
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Operator is able to replicate an emergency stop
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Operator understands not to park the vehicle so that it blocks exits or travel paths
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Operator stops the vehicle prior to getting off the vehicle
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Operator demonstrates ability to properly operate platform from ground control panel
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Employee has a valid driver's license, or has passed a vision test comparable to the State DMV vision test.
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Trainer Name
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Trainer Signature
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Employee Signature
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Observation Test Date
