Equipment Operator Evaluation Checklist Form
Assess the performance and safety practices of equipment operators using this comprehensive checklist.
Operator's Name
*
First Name
Last Name
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Equipment Operated
*
Please Select
Forklift
Excavator
Crane
Bulldozer
Loader
Other
Pre-Operational Safety Checks Completed
*
Yes, completed thoroughly
Partially completed
Not completed
Personal Protective Equipment (PPE) Usage
*
Always worn as required
Occasionally missed PPE
Rarely or never worn
Operational Skills Assessment
*
1
2
3
4
5
Safety Practices Checklist
*
Rows
Yes
No
N/A
Maintains clear visibility
1
2
3
Uses signals and alarms appropriately
4
5
6
Follows site speed limits
7
8
9
Secures loads properly
10
11
12
Communication with Team Members
*
Consistently clear and effective
Occasionally unclear
Poor or ineffective
Response to Unexpected Situations
*
Handles calmly and appropriately
Needs improvement
Inadequate response
Evaluator's Comments
Submit Evaluation
Should be Empty: