FORKLIFT EVALUATION FORM

Name Arnizam Mohd Arshad Date 11-12th February 2019

Company Advanced Air Traffic Forklift 1 ton class 4

Written Evaluation

Pre Test 55% Passed

Post Test 82% Passed

Practical Evaluation

Item Score Rating Score

1 2 3 4 5
Inspection
1 Fork, carrier and mast X 4
2 Traction (Tyre and wheel) X 4
3 Brake, steering and controls X 4
4 Light, horn and alarming devices X 4
5 Fluids and instrumentation X 4
Operation Procedures
6 Usage of safety devices and seat belt X 5
7 Rear checking X 5
8 Maintain clear view and clearance X 5
9 Maintain control X 5
10 Proper mount/dismount X 5
11 Load approaching X 5
12 Stacking and destacking skills X 5
13 Proper usage of tilting X 5
14 Proper and correct load placing and pulling X 5
15 Load checking before lifting X 4
16 Keeping body inside operator cab X 4
17 Proper turning position X 4
19 Proper use of horn X 4
20 Proper parking x 4
Total 85

1 2 3 4 5
Poor Fair Good Very Good Excellent

Evaluation Status PASSED