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You will discover information regarding the type of form you wish to prepare in the table. It will tell you just how long it takes to finish liftap, what parts you will need to fill in and several other specific details.

Question	Answer
Form Name	Liftap
Form Length	1 pages
Fillable?	Yes
Fillable fields	17
Avg. time to fill out	3 min 39 sec
Other names	aerial lift certification card template, scissor lift training card, printable aerial lift license, training certificate card template

12

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 print aerial lift certification cards 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 print aerial lift certification cards 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 equipment operator certification card template

Put the asked data in the OPERATOR, CHECKS, Both, Both, FL, FLAP BASIC, OPERATION, Both, Both, Both Comments, Y, NY, NY, NY, NY, N YN, YN, YN FL, FL, FL, FL, FL, FL A, PAPA, P YNYNYNYNYNYNY, NY, NY, NY, NY, N YNY, NY, NY, NY, NY, N YN, YN, YN Employee, Pass, Fail, Employee, Initials and Eva, lua, tors, name, print segment.

stage 2 to entering details in equipment operator certification card template

You'll be expected to write down the information to help the application complete the box Eva, lua, tors, name, print Eva, lu, at, or, signature and Date.

Evaluatorsnameprint, Evaluatorsignature, and Date in equipment operator certification card template

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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