Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Operator name

  • Operator signature

  • Operator does site inspection?

  • Operator completes outside inspection of side boom?

  • Operator can identify the warning labels on side boom?

  • Operator locates the proper fluid levels?

  • <br>Operator can identify fuel type machine uses?<br> <br>

  • <br>Operator can locate safety locks for winch and boom?<br> <br>

  • Operator can locate the owner’s manual?

  • <br>Operator can identify control functions?<br> <br>

  • <br>Operator can demonstrate an emergency escape?<br> <br>

  • <br>Operator can identify warning labels inside cab?<br> <br>

  • <br>Operator can identify starting procedures?<br> <br>

  • <br>Operator can identify emergency shut down procedure?<br> <br>

  • <br>Operator starts the side boom properly?<br> <br>

  • <br>Operator checks visually before moving side boom?<br> <br>

  • <br>Operator operates at a safe speed?<br> <br>

  • <br>Operator is smooth on winch/boom controls?<br> <br>

  • <br>Operator completed turns smoothly?<br> <br>

  • <br>Operator uses correct engine rpm for task?<br> <br>

  • <br>Operator uses correct gear range for task?<br> <br>

  • <br>Operator can inspect a sling / hook correctly?<br> <br>

  • <br>Operator looks behind while moving in reverse?<br> <br>

  • <br>Operator shuts down and parks the machine properly?<br> <br>

  • Add media

  • Evaluator name and position

  • Evaluator signature

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