Name(Required) First Last After taking the written test, complete this page with your trainer. This is your chance to show your knowledge of how to maintain, service, and operate your rough terrain forklift properly and safely. TRAINER: Check the box as the trainee shows competence for each item.MAINTENANCE:Maintenance Checklist Understands how to conduct a pre-operation inspection including checking the engine oil, hydraulic oil, and coolant. OPERATIONS:Operations Checklist Understands seatbelt requirements. Shows familiarity with controls, lifts & carries loads smoothly and properly. Keeps a clear view of direction of travel, looks behind when backing up. Yields to pedestrians and is aware and safe in all surface conditions. Drives under control, in proper traffic areas and is always conscious of others. Never exceeds vehicle capacity. Able to use attachments properly and safely. Parks and shuts machine down properly. Employee Responsibility & Consent • As a Telehandler operator for Hogan & Associates, I understand the training I have received and agree to operate my assigned machine according to the guidelines of the training. I understand that operating heavy equipment can be very dangerous, and I promise to keep the safety of all workers first and foremost in my mind.Trainee E-Signature(Required) Checking this box, along with my typed name above, constitutes my legal e-signature verifying the above actions have taken place to my satisfaction, and that I understand and accept the Employee Responsibilities listed above. Date(Required) MM slash DD slash YYYY Trainer (Qualified Person) E-Signature I verify the above actions have taken place to my satisfaction, and that I have reviewed the Employee Responsibilities listed above and am satisfied the trainee understands them.Name(Required) First Last Date(Required) MM slash DD slash YYYY
