Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Employee Name
Manufacturer: Crown
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Vehicle Model #
Operator able to identify and communicate control functions.
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Tether: Used to restrain operator to platform<br>
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Power Disconnect: Disconnects the battery and cuts power to the truck<br>
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Key Switch: Turn to TEST to check alarm and display. Release and it will return to ON
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Display/ Horn: Operator to describe alarm and indicators. <br>Test horn (right of key switch)<br>
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Twist Grip: Replicate direction (Rotate Up/ Top- Power unit first, Rotate Towards/ Down- forks first)
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Raise: raises forks and platform
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Lower: lowers forks and platform
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Steering Wheel: Operator to describe power unit and fork swing with steering wheel rotation.
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Pallet Grab Release Handle: Locate and describe when the pallet is to be released
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Pallet Grab Foot Pedal: Center string pallet (good condition), check that pallet is secured
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Platform: Describe safety precautions
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Brake Pedal: Describe usage (step on to disengage, step off to apply) & power cut off
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Side Gate: Describe usage and interlock
Operator able to adequately perform or exhibit proper operation behavior
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Proper completion of a Pre-Shift Operational Check<br>
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Operator appropriately attaches tether
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Operator maintains arms and legs within the confines of the vehicle
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Smooth engagement of travel. Operator clearly understands the proper rotation for required direction
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Operator performs proper steering function
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Operator visually checks prior to backing or changing direction
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Operator uses horn appropriately at intersections, blind corners, etc.
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Operator is able to perform a controlled stop of the vehicle (with or without a load) <br>Plugging & Brake
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Operator is able to stop the vehicle in quickly replicating an emergency stop
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Operator adjusts to proper stopping distances on wet or slippery surfaces. Doesn't run over objects.
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Operator maintains safe driving distance of at least 3 truck lengths
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Operator properly operates vehicle around pedestrians.
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Inspects and operates appropriately for hazards above platform
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Inspects and operates appropriately for hazards below platform
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Raises and lowers platform & forks smoothly to desired height
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Travel speed is appropriate for lift height and wheel steering angle
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Operator properly aligns and engages pallet clamp
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Side gate is down and entire body is inside the operator area
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Operator does not travel on the pallet on platform
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Operator slows down when making turns
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Operator avoids sudden movements of controls
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Operator is able to remove product from forks and does not block exits or travel paths.
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Operator does not drive up on pedestrians & fixed objects
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Operator travels with the platform close to the ground when outside the aisle
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Operator places the load against the end of the platform
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Operator travels in the direction that gives the best view
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Operator inspects and operates appropriately to prevent object from entering the work area.
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Employee has valid driver's license, or has passed a vision test comparable to the State DMV vision test
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Trainer Name
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Trainer Signature
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Employee Signature
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Department
- Receiving
- Inventory Control
- Maintenance
- Shipping
- International Sales
- Transportation
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Observation Test Date
