Sysco Cleveland Forklift Operator

• Associate Name

• Select date

  Date

• Reason for Observation

  Quarterly

  Retrain

• Department

  Cooler

  Freezer

  Dry

• Batch Number

• Start Time - Stop Time

• Percentage

Safety

• Proper pre-trip

  Yes

  No

  N/A

• Keeps all body parts within the equipment

  Yes

  No

  N/A

• Four points of contact with machine

  Yes

  No

  N/A

• Looks in the direction of travel before moving one inch

  Yes

  No

  N/A

• Travels with the base of the machine first

  Yes

  No

  N/A

• Sounds horn and makes eye contact when approaching anyone

  Yes

  No

  N/A

• Uses the S.L.Y. method - Slow down, Lay on the horn and Yield - At doorways, curtains and corners

  Yes

  No

  N/A

• Proper lifting techniques

  Yes

  No

  N/A

• Aware of surroundings at all times

  Yes

  No

  N/A

• Sounds horn and yields while entering the dock area and exiting a trailer

  Yes

  No

  N/A

• Maintains a safe following distance while following other equipment

  Yes

  No

  N/A

• Complete stop before dismounting

  Yes

  No

  N/A

• Three bays away from forklift operator making a drop

  Yes

  No

  N/A

• Does not step on pallets or forks of machine

  Yes

  No

  N/A

• Does not walk in front of moving jack

  Yes

  No

  N/A

• Knows work rule 1-18 - Accident, injury and incident reporting

  Yes

  No

  N/A

Method

• Logs on to RF with terminal ID, employee ID, employee password and 3-digit forklift ID

  Yes

  No

  N/A

• Participates in pre-shift stretch

  Yes

  No

  N/A

• Works area or lanes assigned by supervisor

  Yes

  No

  N/A

Put-a-way

• Travels directly to the put-a-way pallet

  Yes

  No

  N/A

• Do not skip an unfinished lane once started

  Yes

  No

  N/A

• Obtain pallet(s) from dock, stacking when possible

  Yes

  No

  N/A

• Informs receiver of problem with pallets on dock

  Yes

  No

  N/A

• RF scan each license plate, from top down , taken from dock during one trip - Push F2 to travel

  Yes

  No

  N/A

• Travels a direct route from dock to put- a way location

  Yes

  No

  N/A

• Operator places pallet to location as directed, license plate facing out, scan rack location

  Yes

  No

  N/A

• If reserve slot is occupied by a pallet miss-placed by one bay, fix and continue, or red zone

  Yes

  No

  N/A

• If placed to pick slot, remove slot pallet, removes wrap, handle cases, Red Zone excessive cases

  Yes

  No

  N/A

• Performs required rotation on all applicable items. Replace any pallets moved to do put-a-way

  Yes

  No

  N/A

• Pick up any generated empty pallets, place on bottom of stack if more pallets to be put-a-way

  Yes

  No

  N/A

• In the case of exceptions, pallets should be taken to red zone

  Yes

  No

  N/A

• Return to dock promptly for next load, after completion of current load; drop off empty pallets

  Yes

  No

  N/A

Replenishment

• Works slot as directed, over rides system only when necessary

  Yes

  No

  N/A

• Responds to empty "enough" slots as they are encountered; finishes aisle before moving on

  Yes

  No

  N/A

• Sets down empty pallet stack close to home slot, same side of aisle

  Yes

  No

  N/A

• Removes empty pallet and additional cases from slot and place on top of empty pallet stack.

  Yes

  No

  N/A

• Travels directly to reserve slot

  Yes

  No

  N/A

• Verifies slot number before removing product from reserve; scans bar code immediately

  Yes

  No

  N/A

• Removes product in first in/first out order, if possible

  Yes

  No

  N/A

• Travels directly from reserve slot

  Yes

  No

  N/A

• Dismount once for cutting wrap/tape, replace previous pallet cases, sweep slot as needed

  Yes

  No

  N/A

• Place pallet to home slot, do not double stack pallets in slot

  Yes

  No

  N/A

• Replace any pallets moved to do replenishment; rotate as required

  Yes

  No

  N/A

• Obtain empty pallet stack (if there is one) and proceed to next pick slot for replenishment

  Yes

  No

  N/A

• NDM finish aisle, DMD does nearby moves next; minimize travel time between replenishments

  Yes

  No

  N/A

• Regularly takes empty pallets (10 pallets) from assigned aisle; places in designated area

  Yes

  No

  N/A

Both

• Trash is accumulated on forklift and dropped off periodically enroute or gathered into piles

  Yes

  No

  N/A

• Damaged cases brought to the damaged area, by job; Complete "warehouse damage form"

  Yes

  No

  N/A

• Inform supervisor of all sanitation problems, spill and other non-forkable damaged product

  Yes

  No

  N/A

• Takes authorized time for breaks and lunches

  Yes

  No

  N/A

• Uses safe methods at all times

  Yes

  No

  N/A

Picture of Employee Making a Drop or Put-a-Way

• Add media

  Media

Evaluation

• Associate exhibited a positive and safe attitude during the observation

  Yes

  No

  N/A

• Comments

• Employee Signature

  Sign

• Supervisor Signature

  Sign