• 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?


  • Operator can identify fuel type machine uses?


  • Operator can locate safety locks for winch and boom?

  • Operator can locate the owner’s manual?


  • Operator can identify control functions?


  • Operator can demonstrate an emergency escape?


  • Operator can identify warning labels inside cab?


  • Operator can identify starting procedures?


  • Operator can identify emergency shut down procedure?


  • Operator starts the side boom properly?


  • Operator checks visually before moving side boom?


  • Operator operates at a safe speed?


  • Operator is smooth on winch/boom controls?


  • Operator completed turns smoothly?


  • Operator uses correct engine rpm for task?


  • Operator uses correct gear range for task?


  • Operator can inspect a sling / hook correctly?


  • Operator looks behind while moving in reverse?


  • Operator shuts down and parks the machine properly?

  • Add media

  • Evaluator name and position

  • Evaluator signature

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