Powered Industrial Truck Evaluation Form
Document the evaluation of a powered industrial truck operator using this form. Please complete all relevant sections accurately.
Operator Full Name
*
First Name
Last Name
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator Name
*
First Name
Last Name
Type of Powered Industrial Truck
*
Please Select
Counterbalance Forklift
Reach Truck
Order Picker
Pallet Jack
Rough Terrain Forklift
Other
Pre-Operation Inspection Completed
*
Yes
No
Operational Safety Observed
*
Yes
No
Load Handling Ability
*
Satisfactory
Needs Improvement
Unsatisfactory
Maneuvering and Driving Skills
*
Satisfactory
Needs Improvement
Unsatisfactory
Comments or Recommendations
Evaluator Signature
*
Submit Evaluation
Submit Evaluation
Should be Empty: