Title Page

  • Operators Name

  • Theory Date

  • Practical Evaluation Date/Time

  • Equipment being used for Practical Evaluation

  • Trainer/Evaluator

Pre-Operational Requirements

  • Recognition of appropriate type of overhead crane and equipment?

  • Pre-operation inspection and completes pre-shift inspection properly?

  • Knows how to report deficiencies (problems) in accordance with company guidelines?

  • Wears required personal protective equipment (PPE) to specifically operate this equipment?

Post Start Up

  • Securing, balancing and raising the load?

  • Looking around for obstructions/pedestrians?

  • Proceeding with a load (load never out of sight)?

  • Load in relation to the ground and clearances?

  • Alerting other nearby personnel?

  • Slows down for pedestrians and other equipment?

  • Preparing or blocking for the load (done prior to lifting the load)?

  • Positioning load to be deposited?

  • Setting the load down (secured & balanced)?

  • Positioning there body during raising or lowering (not between load and fixed object)?

  • Removing slings and raising hooks?

  • One movement at a time? (Ex. Never east, down at the same time)

  • Smooth and consistent with controls (mistakes made when pushing buttons)?

Shutting the equipment down

  • Is the load stacked properly and balanced as to not endanger anyone?

  • Is the hook left at least 7 feet off the ground or in an area to avoid someone walking into it?

  • Is the remote stored in an area as to not get damaged when not in use?

  • Evaluator's comments

  • Trainee/Employee Signature

  • Signature of Practical Evaluator

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.