Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Operators Name:
-
Select date
-
Outside Inspection:
-
Operator completes site inspection?<br> <br>
-
Operator completes outside inspection of skid steer?<br>
-
Operator can identify warning labels on skid steer?<br> <br>
-
Operator locates the proper fluid levels?<br> <br>
-
Operator can identify fuel type machine uses?<br> <br>
-
Operator can locate safety lock for hydraulic rams?<br> <br>
-
Verbal Communication:
-
Operator can locate the owner’s manual?
-
Operator can identify control functions?<br> <br>
-
Operator can identify the emergency escape release?<br> <br>
-
Operator can identify warning labels inside cab?<br> <br>
-
Operator can identify starting procedures?<br> <br>
-
Operation of the Skid Steer:
-
Operator starts the skid steer properly?
-
Operator checks visually before moving skid steer?<br> <br>
-
Operator keeps bucket low to ground while moving?<br> <br>
-
Operator is smooth on arm/bucket controls?<br> <br>
-
Operator completed turns smoothly with load low?<br> <br>
-
Operator uses correct engine rpm for task?<br> <br>
-
Operator uses correct gear range for task?<br> <br>
-
Operator can change attachments correctly?<br> <br>
-
Operator looks behind while moving in reverse?<br> <br>
-
Operator shuts down and parks the machine properly?<br> <br>
-
Did Operator wear all company and industry regulated PPE during this audit?
-
Operator's Name & Signature:
-
Evaluator's Name & Signature: