OPERATOR PERFORMANCE EVALUATION

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

 

AERIAL BOOM LIFTS Poor Average Good
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    1 2 3 4    5

 

SCISSORS PLATFORM LIFTS Poor Average Good
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.    1 2 3 4    5

 

INDUSTRIAL FORKLIFT Poor Average Good
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.    1 2 3 4    5

 

ROUGH TERRAIN FORKLIFT Poor Average Good
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.    1 2 3 4    5