Zekelman Aerial Work Platform Practical Evaluation

Title Page

Pre-Operational Requirements

Can they locate inspection paperwork and perform pre-use inspection in accordance within company guidelines
Do they know "how to" report unsafe items in accordance within company guidelines?
Are they wearing required personal protective equipment (boots, hard hat, glasses, ear plugs)
Do they remove items out of any pockets that may get caught between harness and body if they suddenly fall into the harness?
Do they inspect the lanyard and attach it to rear d-ring before putting on the harness? (Attaching it after when you can't see it could result in the lanyard not hooking on at all)
Do they Inspect the harness for damage to the webbing, connections and d-ring? After putting on the harness do they ensure a snug fit?

Are they able to explain the emergency lowering procedures?
Can they explain how they would cordon off or barricade an area to prevent someone from crossing under the lift?
Do they inspect the area in which the lift will operate to look for uneven or unstable surfaces?

Do they attach the fall protection lanyard to the basket before doing anything? Do they ensure the evaluator is also attached?
How do they do at explaining what each control in the basket does prior to doing anything?
Do they select the correct control and start to drive or steer? Are they able to drive the lift at a smooth, steady and safe speed? Are they watching for obstacles?
Do they set up correctly before attempting to raise the basket? Are they in an aisle or blocking a doorway? Can they point out all overhead hazards that may exist?
Are they able to maintain smooth steady operation of each stage while raising the basket? Keeping their eyes scanning to ensure enough space for the basket?
When asked to lower the basket do they check below for anything that may be in the way?
Are they lowering smoothly and safely? Are they lowering each stage of the boom at a time and correctly to avoid tipping?

Does the teammate put the basket all the way down? On a boom do they put the basket low enough to ensure a safe exit?
Does the teammate look to the rear before reversing the lift? Make sure there isn't anything or anyone in the path of travel?
Does the teammate park the lift in an area that is out of the way, ensuring the lift won't be hit by forklifts or other traffic?
Does the teammate turn around backwards and maintain 3 points of contact as they come down from the basket or deck?
Evaluator's comments (how did the teammate do? What do they need to work on?)
Trainee/Employee Signature
Signature of Practical Evaluator