Title Page
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Operators Name
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Theory Date
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Practical Evaluation Date/Time
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Equipment being used for Practical Evaluation
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Trainer/Evaluator
Pre-Operational Requirements
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Recognition of appropriate type of overhead crane and equipment?
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Pre-operation inspection and completes pre-shift inspection properly?
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Knows how to report deficiencies (problems) in accordance with company guidelines?
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Wears required personal protective equipment (PPE) to specifically operate this equipment?
Post Start Up
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Securing, balancing and raising the load?
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Looking around for obstructions/pedestrians?
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Proceeding with a load (load never out of sight)?
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Load in relation to the ground and clearances?
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Alerting other nearby personnel?
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Slows down for pedestrians and other equipment?
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Preparing or blocking for the load (done prior to lifting the load)?
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Positioning load to be deposited?
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Setting the load down (secured & balanced)?
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Positioning there body during raising or lowering (not between load and fixed object)?
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Removing slings and raising hooks?
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One movement at a time? (Ex. Never east, down at the same time)
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Smooth and consistent with controls (mistakes made when pushing buttons)?
Shutting the equipment down
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Is the load stacked properly and balanced as to not endanger anyone?
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Is the hook left at least 7 feet off the ground or in an area to avoid someone walking into it?
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Is the remote stored in an area as to not get damaged when not in use?
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Evaluator's comments
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Trainee/Employee Signature
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Signature of Practical Evaluator
