• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Employee Name

Manufacturer: Crown

  • Vehicle Model #

Operator able to identify and communicate control functions.

  • Speed/Truck Direction: Can properly identify hand control and use of for direction and speed of lift

  • Horn: Can identify location and properly use

  • Safety Reverse Switch: Contact causes low speed directional change

Fork Controls Can identify and perform the following:

  • Overhead Guard: Can properly identify lever that raises and lowers guard

  • Lift/ Lower

  • Tilt

  • Right and Left Shift

Operator able to adequately perform or exhibit proper operation behavior

  • Proper completion of a Pre-Shift Operational Check<br>

  • Proper stance on vehicle platform

  • Operator maintains arms and legs within the confines of the vehicle

  • Smooth engagement of travel. Operator clearly understands the proper rotation for required direction

  • Operator can perform necessary fork controls to properly move pallets

  • Operator visually checks prior to backing or changing direction

  • Operator uses horn appropriately at intersections, blind corners, etc.

  • Operator is able to perform a controlled stop of the vehicle (with or without a load)

  • Operator is able to stop the vehicle in quickly replicating an emergency stop

  • Operator adjusts to proper stopping distances on wet or slippery surfaces

  • Operator can properly engage and disengage the coast selector

  • Operator properly stops and sounds horn prior to driving through strip curtains and Rytec doors

  • Operator uses overhead guard properly when both lifting overhead and entering trailers

  • Operator properly travels with forks trailing

  • Operator maintains safe driving distance of at least 3 truck lengths

  • Operator properly operates lift around pedestrians. Does not drive up to pedestrians and fixed objects.

  • Operator properly uses the High and Low speed controls in respect to conditions & environment

  • Operator stops vehicle prior to getting off

  • Operator is able to remove product product from forks and does not block exits or travel paths

  • Operator uses appropriate speed when entering a trailer (and follows proper trailer entering procedures)

  • Operator uses proper precaution around dock plate that are not engaged in a trailer

  • Employee has valid driver's license, or has passed a vision test comparable to the State DMV vision test

  • Trainer

  • Trainer Signature

  • Employee Signature

  • Department

  • Observation Test Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.