Forklift Operator Evaluation
Based on 29 CFR 1910.178(l) · forkliftdrill.com
One form per operator and truck type. Mark each observed check: Yes = done correctly, No = needs training, N/A = does not apply on this truck or site.
Training and evaluation record
Operator name
Employer / site
Truck type evaluated (e.g. sit-down counterbalance, stand-up reach, order picker)
Truck make / model / unit ID
Formal instruction completed on (date) and by
Practical training completed on (date) and by
Evaluation date
Evaluator name and title
A. Inspection before use
| # | Check | Yes | No | N/A |
| 1 | Examines the truck before use and reports defects; does not use a truck with a safety defect | | | |
| 2 | Finds the data plate and states the rated capacity and load center | | | |
| 3 | Checks forks, carriage, mast and chains for cracks, bends or damage | | | |
| 4 | Checks tires and wheels | | | |
| 5 | Checks for fluid leaks and for fuel level or battery charge | | | |
| 6 | Tests horn, lights, alarms and gauges | | | |
| 7 | Tests service brake, parking brake and steering | | | |
| 8 | Confirms seat belt or operator restraint and overhead guard are in place | | | |
B. Starting and controls
| # | Check | Yes | No | N/A |
| 9 | Mounts and dismounts safely and fastens the seat belt where fitted | | | |
| 10 | Uses each control smoothly and can explain what it does on this truck | | | |
C. Traveling
| # | Check | Yes | No | N/A |
| 11 | Looks in the direction of travel; travels in reverse when the load blocks the forward view | | | |
| 12 | Keeps a safe speed; slows and sounds the horn at intersections, corners and blind spots | | | |
| 13 | Keeps arms, legs and head inside the operator area | | | |
| 14 | Keeps a safe distance from other trucks; yields to pedestrians | | | |
| 15 | On grades, drives loaded with the load upgrade and empty with the forks downgrade; does not turn on a grade | | | |
| 16 | Crosses dock plates, tracks and rough floors with care; checks that trailers are secured before entering | | | |
D. Handling loads
| # | Check | Yes | No | N/A |
| 17 | Checks the load weight against the rated capacity before lifting | | | |
| 18 | Sets fork spread for the load; forks fully under; load centered and stable | | | |
| 19 | Lifts and lowers smoothly, tilts back to stabilize, and travels with the load low | | | |
| 20 | Stacks and unstacks squarely; no one stands or passes under raised forks | | | |
| 21 | Handles only stable, safely arranged loads and secures unstable ones | | | |
E. Pedestrians and the workplace
| # | Check | Yes | No | N/A |
| 22 | Follows site traffic rules, marked aisles and speed limits | | | |
| 23 | Carries no passengers; lifts people only on an approved platform under site procedure | | | |
| 24 | Names the site's specific hazards, such as narrow aisles, hazardous locations or poor ventilation | | | |
F. Parking, refueling and charging
| # | Check | Yes | No | N/A |
| 25 | When leaving the truck: forks fully lowered, controls neutral, power off, brakes set; wheels blocked on an incline | | | |
| 26 | Parks in an authorized place, clear of exits, fire equipment and aisles | | | |
| 27 | Refuels or charges only in the designated area, with the engine off and no open flame or smoking | | | |
Result and certification
Competent to operate this truck type
Needs more training. Refresher by (date):
Notes
Evaluator signature and date
Operator signature and date
Certified by (employer representative), signature and date
Next evaluation due (no later than 3 years after the evaluation date)
Certification record under 29 CFR 1910.178(l)(6): operator name, date of training, date of evaluation, and the identity of the person(s) performing the training or evaluation. Re-evaluate at least every three years, and give refresher training and a new evaluation after unsafe operation, an accident or near miss, a poor evaluation, a different truck type, or a workplace change. Free template from forkliftdrill.com. Not affiliated with or endorsed by OSHA. Not legal advice; adapt it to your trucks and site.