Information

  • Name

  • Conducted on

  • Auditor

Operator Details

  • Has the operator got a valid certificate of training that has been passed or refreshed within the last three years?

  • Enter their certificate

Plant Vehicle

  • Type of plant equipment?

Induction

  • Show them all trucks on site and explain controls

  • Show how to safely pick up and move Danish trolley's around the site

  • Show how to empty waste into the skip

  • Show them the forklift travel areas

  • Show them the soft spots on site

  • Show them locations around the site

  • Show them where the keys are left when the truck is not in use

  • Show them where to park the trucks

  • Explain to them the speed restrictions around the site (Max 5 mph outside in open areas /Max 2.5 Mph Indoor, around corners and tight areas)

  • Explain to them any accidents or near misses need reporting immediately

  • Explain that in an event of an accident, they will need to switch off the truck safely, call for a first aider and report the accident.

  • Explain to them pedestrians have right of way

  • Explain to them they need to sound the horn through doorways and round corners

  • Explain to them not to turn around between beds

  • Explain to them that stacks of pallets and crates need to be 5M away from buildings

  • Explain to them not to push loads up to buildings and rails

  • Explain to them to be mindful of the forks sticking out at the end of there load

  • Explain about the slippery floors in all areas

Performance Assessment

  • Participated in pre use inspection?

  • Showed familiarity with truck controls?

  • Sounded horn at appropriate times?

  • Kept a clear view of direction of travel?

  • Turned corners correctly and was aware of rear swing?

  • Approached load correctly?

  • Lifted load properly?

  • Manoeuvred properly?

  • Travelled with load at a safe height?

  • Lowered load smoothly/slowly?

  • Stopped smoothly/completely?

  • Balanced load correctly?

  • Carried load tilted back against the mast?

  • Placed loads within area as instructed

  • Stacked load evenly and neatly?

  • Loaded and unloaded from a top rack location?

  • Had good visuals throughout?

  • Travelled at safe speeds throughout?

  • When Parking, placed forks flat on floor, controls in neutral, brakes on, power off and keys out?

Assessment Recommendations & Evaluations

  • Assessors evaluation of operator safety?

  • Comments

Signatures

  • Date and time of assessment

  • Operator signature

  • Assessor signature

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.