Liftap PDF Details

The Liftap form is an indispensable tool designed to ensure the safety and efficiency of equipment operation within the realm of mechanical and metal fabrication companies, as illustrated through its adoption by firms like Monterey Mechanical Co. and Contra Costa Metal Fabricators, among others. Introduced on March 28, 2011, and subject to revisions since its inception, this form meticulously records the evaluation of an operator's ability to handle various types of equipment, including conventional and rough terrain forklifts, boom lifts, and scissor lifts. Its structure encourages comprehensive assessment through initial and subsequent re-evaluations, contingent upon an operator’s performance in executing specific tasks safely and effectively. The evaluation covers a wide spectrum of checkpoints, ranging from visual inspections, such as the condition of wheels and the avoidance of fluid leaks, to operational competencies like correct load handling and the observance of safe traveling speeds. Crucially, it underlines the importance of re-instruction in identified areas of concern if an operator fails to meet the required standards, insisting on a re-evaluation to ultimately achieve a ‘Pass’. This methodical approach underscores the commitment to maintaining high safety standards, ensuring operators are well-trained, and minimizing the risk of accidents on the shop floor. The form serves not just as a means to gauge an operator's proficiency but also acts as a tangible reminder of the critical importance of safety in operational environments.

QuestionAnswer
Form NameLiftap
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestraining certificate card template, aerial lift certification card pdf, lift certification card template, aerial lift certification template

Form Preview Example

Monterey Mechanical Co.

Contra Costa Metal Fabricators - Pacific Metal Fabricators - Monterey Metal Fabricators

EQUIPMENT OPERATOR EVALUATION FORM

New: 3/28/2011 Revised:

Operator name:

________________________________________

Operators latest training date:

_______________

Source of training:____________________________________

Type of equipment evaluated on:

Conventional(FL) Rough Terrain(FL)

Boom Lift(AP) Scissor Lift(AP)

Evaluation type:

 

Initial

Re-evaluation

 

Circle a “Y” if the employee passes or an “N” if the employee does not perform the task properly. Any circled “N” requires that the employee be re-instructed in the areas of concern and evaluated again if needed. This re-evaluation shall be indicated as being performed in the comments box. Only then can a “Pass” be achieved.

VISUAL CHECKS

 

 

 

 

 

Both

Wheels, tires

Y N

 

Both

Keeps clear view of path while traveling

Y N

Both

Fluid leaks

Y N

 

Both

Yields to pedestrians

Y N

Both

Guards, guardrails(AP) and covers

Y N

 

Both

Keeps body inside of unit

Y N

Both

Items not stored on equipment

Y N

 

Both

Is aware of all clearances

Y N

Both

Capacity plates, load decals

Y N

 

Both

Maintains control at all times

Y N

Both

Can they locate the vehicle manual

Y N

 

Both

Operates in designated areas

Y N

Both

Able to locate inspection tag

Y N

 

Both

Avoids bumping and pushing

Y N

FL

Forks, carriage, mast

Y N

 

Both

Unit parked correctly

Y N

AP

Anchor points for fall protection

Y N

 

FL

Uses seatbelt

Y N

 

 

 

 

FL

Understands load chart

Y N

 

 

 

 

FL

Approaches and lifts loads correctly

Y N

OPERATOR CHECKS

 

 

FL

Loads properly placed on the forks

Y N

Both

Lifting mechanism

Y N

 

FL

Checks load before lifting for being secure

Y N

Both

Brakes and steering

Y N

 

FL

Checks behind before putting into reverse

Y N

FL

Instrument gauges

Y N

 

FL

Travels with the forks at a safe level

Y N

FL

Backup alarm, horn, seatbelt, lights

Y N

 

FL

Sounds horn when needed

Y N

AP

Travel alarm

Y N

 

FL

Places and pulls out of load correctly

Y N

BASIC OPERATION

 

 

AP

Checks 360degrees for clearance prior to movement

Y N

Both

Uses 3 points of contact for access

Y N

 

AP

Closes gate or chain

Y N

Both

Competent operation of controls

Y N

 

AP

Checks for overhead clearances when raising

Y N

Both

Travels at a safe speed

Y N

 

 

 

 

Comments:

* If fall protection is used the user must be trained in the use of fall protection.

Employee:

Pass

Fail

Employee Initials:___________________

Evaluators name (print):

______________________________________

Evaluator signature:

_________________________________________ Date: _______________

Return the completed form to the Safety Department

How to Edit Liftap Online for Free

It's very easy to fill out the aerial lift training card empty blanks. Our software will make it almost effortless to edit any type of PDF file. Down the page are the only four steps you should take:

Step 1: Hit the button "Get form here" to access it.

Step 2: When you get into the aerial lift training card editing page, there'll be lots of the actions you can undertake with regards to your template within the upper menu.

All of the following parts are what you will need to fill out to get your prepared PDF form.

example of blanks in scissor lift card

Put the asked data in the OPERATOR CHECKS Both Both FL FL AP, Lifting mechanism Brakes and, BASIC OPERATION Both Both Both, Uses points of contact for access, Comments, Y N Y N Y N Y N Y N, Y N Y N Y N, Both Both Both Both Both Maintains, FL FL FL FL FL FL, AP AP AP, Loads properly placed on the forks, Checks degrees for clearance prior, Y N Y N Y N Y N Y N Y N Y N Y N Y, Y N Y N Y N Y N Y N Y N, and Y N Y N Y N segment.

stage 2 to entering details in scissor lift card

Step 3: Choose the Done button to save the document. So now it is at your disposal for transfer to your gadget.

Step 4: Create copies of your document - it can help you prevent potential future difficulties. And don't get worried - we cannot disclose or read your data.

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