Appendix D Hands-On Evaluation Test for Powered Industrial Truck Operators POWERED INDUSTRIAL TRUCK OPERATOR HANDS-ON EVALUATION Operator Name: Evaluation Date: Department: Directions: Evaluate the operator on each factor. Indicate satisfactory performance by checking the "Yes" column. Indicate unsatisfactory performance by checking the "No" column. Yes No NA (1) Is operator's ability to complete pre-use inspection satisfactory? (2) Does operator fasten their seatbelt prior to beginning test? (3) Does the operator fully understand all controls? (Demonstrate control movement to achieve desired result). (4) Maneuvering skills: (a) Smooth starting and stopping? (b) Proper speed maintained? (No faster than a brisk walk) (c) Forks carried as low as possible while in motion? (d) Speed reduced at corners and intersections? (e) Safe distance maintained from all obstacles? (5) Handling load: (a) Approaches load squarely? (b) Forks spread as wide as load allows? (c) Mast vertical when forks enter pallet? (d) Load tilted back against backrest? (6) Driving with load: (a) Sounds horn at all blind intersections? (b) Yields to pedestrians? (c) Sounds horn in vicinity of doorways? (d) Looks in direction of travel at all times?
Appendix D Hands-On Evaluation Test for Powered Industrial Truck Operators POWERED INDUSTRIAL TRUCK OPERATOR HANDS-ON EVALUATION Operator Name: Evaluation Date: Department: Directions: Evaluate the operator on each factor. Indicate satisfactory performance by checking the "Yes" column. Indicate unsatisfactory performance by checking the "No" column. Yes No NA (1) Is operator's ability to complete pre-use inspection satisfactory? (2) Does operator fasten their seatbelt prior to beginning test? (3) Does the operator fully understand all controls? (Demonstrate control movement to achieve desired result). (4) Maneuvering skills: (a) Smooth starting and stopping? (b) Proper speed maintained? (No faster than a brisk walk) (c) Forks carried as low as possible while in motion? (d) Speed reduced at corners and intersections? (e) Safe distance maintained from all obstacles? (5) Handling load: (a) Approaches load squarely? (b) Forks spread as wide as load allows? (c) Mast vertical when forks enter pallet? (d) Load tilted back against backrest? (6) Driving with load: (a) Sounds horn at all blind intersections? (b) Yields to pedestrians? (c) Sounds horn in vicinity of doorways? (d) Looks in direction of travel at all times?