OPERATOR PERFORMANCE EVALUATION

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