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:

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