Chipper Performance Assessment
Please complete this form to evaluate the performance and condition of the chipper equipment.
Chipper Equipment ID or Serial Number
*
Operator Full Name
*
First Name
Last Name
Date and Time of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Chipper Performance Metrics
*
Rows
Excellent
Good
Fair
Poor
Engine Operation
1
2
3
4
Throughput Capacity
5
6
7
8
Blade Condition
9
10
11
12
Noise Level
13
14
15
16
Vibration
17
18
19
20
Is the chipper up to date with its scheduled maintenance?
*
Yes
No
Not Sure
Safety Compliance Checklist (select all that apply)
Emergency stop functions properly
All guards in place and secure
Warning labels visible and legible
PPE worn by operator
No fluid leaks observed
Other
Describe any issues, malfunctions, or concerns observed during operation
Additional Comments or Recommendations
Submit Assessment
Should be Empty: