Get Forklift Operator Evaluation Form

Forklift Operator Evaluation Form Instructions Use this checklist during the field session to evaluate operator proficiency. It can also be used for periodic evaluation to ensure that operators are continuing to operate forklifts properly. Operator Name Date of Evaluation Evaluator Name Equipment Operated OPERATOR BEHAVIORS Preuse Inspection 1 Follow the Operator s Daily Checklist. 2 Look for damage. 3 Document all findings on the checklist. Picking Up A Load 1 Square up on the center of the load* 2 Stop with the fork tips about 1 foot from the load* 3 Clear personnel from the area near the load* Level the forks then slowly drive forward until the load contacts the carriage. Lift the load carefully and smoothly until it is clear. 6 Tilt the mast back slightly to stabilize the load* 7 Look over both shoulders. After out and stopped lower the load to travel height. Traveling Do not raise or lower the load and forks while 2 Maintain a safe speed* Observe all traffic rules warning signs floor load limits and overhead clearances. 4 Keep arms and legs inside the forklift. 5 Follow other vehicles at a safe distance. 6 Slow down when cornering. 7 Use the horn to alert others. Travel with the load facing uphill while on a ramp or incline. 9 Stop smoothly. Good Fair Poor N/A Comments Putting Down A Load Make sure there is sufficient clearance for the load* Square up to the location then stop about 1 foot away. 4 Raise the load to placement level* 5 Move slowly forward. If the load is on a pallet lower it into position and lower the forks further. 8 Back straight out until the forks have cleared* 9 Lower the forks to traveling position* Parking 1 Fully lower the forks. 2 Neutralize the controls. 3 Set the brakes. 4 Turn off the power. 5 If parked on an incline block the wheels. 6 Park only in authorized areas. Fueling And Battery Recharging 1 Turn the engine off* 2 Keep a fire extinguisher nearby. Use the proper Personal Protective Equipment PPE. Follow safe fueling and battery recharging procedures. 5 Clean up spills immediately. FINAL EVALUATION Based on my evaluation the operator has successfully completed the evaluation and is qualified to operate the following equipment equipment Equipment Type Evaluator Signature Operator Signature. It can also be used for periodic evaluation to ensure that operators are continuing to operate forklifts properly. Operator Name Date of Evaluation Evaluator Name Equipment Operated OPERATOR BEHAVIORS Preuse Inspection 1 Follow the Operator s Daily Checklist. Operator Name Date of Evaluation Evaluator Name Equipment Operated OPERATOR BEHAVIORS Preuse Inspection 1 Follow the Operator s Daily Checklist. 2 Look for damage. 3 Document all findings on the checklist. Picking Up A Load 1 Square up on the center of the load* 2 Stop with the fork tips about 1 foot from the load* 3 Clear personnel from the area near the load* Level the forks then slowly drive forward until the load contacts the carriage. 2 Look for damage. 3 Document all findings on the checklist. Picking Up A Load 1 Square up on the center of the load* 2 Stop with the fork tips about 1 foot from the load* 3 Clear personnel from the area near the load* Level the forks then slowly drive forward until the load contacts the carriage. Lift the load carefully and smoothly until it is clear. 6 Tilt the mast back slightly to stabilize the load* 7 Look over both shoulders. .