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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Operator name
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Operator signature
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Operator does site inspection?
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Operator completes outside inspection of side boom?
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Operator can identify the warning labels on side boom?
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Operator locates the proper fluid levels?
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<br>Operator can identify fuel type machine uses?<br> <br>
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<br>Operator can locate safety locks for winch and boom?<br> <br>
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Operator can locate the owner’s manual?
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<br>Operator can identify control functions?<br> <br>
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<br>Operator can demonstrate an emergency escape?<br> <br>
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<br>Operator can identify warning labels inside cab?<br> <br>
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<br>Operator can identify starting procedures?<br> <br>
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<br>Operator can identify emergency shut down procedure?<br> <br>
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<br>Operator starts the side boom properly?<br> <br>
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<br>Operator checks visually before moving side boom?<br> <br>
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<br>Operator operates at a safe speed?<br> <br>
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<br>Operator is smooth on winch/boom controls?<br> <br>
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<br>Operator completed turns smoothly?<br> <br>
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<br>Operator uses correct engine rpm for task?<br> <br>
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<br>Operator uses correct gear range for task?<br> <br>
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<br>Operator can inspect a sling / hook correctly?<br> <br>
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<br>Operator looks behind while moving in reverse?<br> <br>
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<br>Operator shuts down and parks the machine properly?<br> <br>
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Add media
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Evaluator name and position
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Evaluator signature