Title Page
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SKID STEER OPERATOR EVALUATION
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Jobsite:
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Date of Evaluation:
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Make and Model: (take photo of machine)
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Superintendent:
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Operator Name:
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Years of Experience:
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Reason for Evaluation:
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Evaluated By:
Evaluation
BEFORE STARTING ENGINE
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Daily Pre-Use Inspection Completed?
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Walk around skid loader and look for hazards or damage.
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Document all findings & notify supervisor.
ENTRY AND START-UP
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Lift arms down, use steps made for entry.
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Does not use control levers as grab bars.
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Adjust seat, buckle seat belt, restraining bar lowered (if equipped).
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Controls in neutral and parking brake set. Check area is clear of bystanders.
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Start machine, test all controls, check brakes.
SKID LOADER DRIVING
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Start machine movement smoothly.
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Drive to pre- determined point, increasing throttle and speed, maintains good control of the machine.
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Test brake or traction system (to make sure it will hold)
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Come to a smooth, steady stop, and avoids obstacles and hazardous areas.
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Check for clear travel path, backs machine, turning at 90 degrees, comes to a stop, turns back towards the start area.
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Drive to original start area, reduces throttle and speed when entering the start point.
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Tilt Alarm Testing
LOADER BUCKET USE
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Square up to material to be moved, lower and level the bucket.
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Drive forward, obtain a load, tip the bucket back to stabilize the load.
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Lift load smoothly until clear, keep load at low travel height, look over both shoulders and back up.
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Turn and move forward, maintain safe speed, travel to load destination.
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Make sure of sufficient clearance to raise the load, raise the load to placement level.
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Move slowly forward, tip bucket forward to dump load smoothly.
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Once empty, tip bucket back to maintain clearance, look over both shoulders, back straight out until clear.
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MACHINE SHUT-OFF AND EXIT
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Park on level surface, lower lift arms and bucket to the ground.
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Place controls in neutral, set the parking brake, turn off engine
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Dismount machine by facing seat and using handholds and steps.
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Maintains three points of contact when dismounting. Does not jump off of machine.
EVALUATION
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Based on my evaluation, the operator has completed the evaluation and is qualified to operate the equipment
