operator performance evaluation

AERIAL BOOM LIFTS
Poor=1 Good= 5

1 2 3 4 5 Employee understands machine capacity and the grades the lift may be safely operated on, as indicated on the placard near the basket.
1 2 3 4 5 Employee understands each control and its specific function
1 2 3 4 5 Employee can smoothly move machine in forward & reverse
1 2 3 4 5 Employee can smoothly extend and retract boom
1 2 3 4 5 Employee can smoothly move elevated boom to right & left

SCISSORS PLATFORM LIFTS
Poor=1 Good= 5

1 2 3 4 5 Employee understands machine capacity and the grades the lift may be safely operated on, as indicated on the placard located near the lift controls.
1 2 3 4 5 Employee understands each control and its specific function.
1 2 3 4 5 Employee can smoothly maneuver lift forward & reverse.
1 2 3 4 5 Employee can smoothly raise and lower the lift.
1 2 3 4 5 Employee can demonstrate how the emergency ground controls function.

INDUSTRIAL FORKLIFT
Poor=1 Good= 5

1 2 3 4 5 Employee understands how to read the forklift load chart.
1 2 3 4 5 Employee can smoothly operate lift in forward & reverse.
1 2 3 4 5 Employee can safely raise and lower a load.
1 2 3 4 5 Employee can tilt forks.
1 2 3 4 5 Employee understands all forklift warning and caution decals.

ROUGH TERRAIN FORKLIFT
Poor=1 Good= 5

1 2 3 4 5 Employee understands how to read the forklift load chart.
1 2 3 4 5 Employee can extend and retract forks with a load.
1 2 3 4 5 Employee can raise and lower boom with a load.
1 2 3 4 5 Employee can tilt forks.
1 2 3 4 5 Employee understands all forklift warning & caution decals.

Name:		SSN
Job Site	Date:	Location
Supt:		Serial #: