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Thank you!Test PME TCRForklift, Grab-Bale Clamp, Order Picker, Reach Truck, Turret TruckSafety ChecksOperationOperationShutdownFinishCompany & Operator DetailsDateStart TimeAssessorPlease selectAndrew McGuireGavin MichalowskyAndrew HawesSend TCR toPlease selectAndrew MGavinAndrew HCompanyPlease selectWoolworthsVisy IndustriesVisy LogisticsLoscamSaputoIplex PipelinesDonKRRocla PipesRemedy DrinksSitePlease selectBoardGlamaPlasticsRecyclingBeverage CanCCPVBAMState 1VICQLDNSWSAWAACTNTTASNZVictoriaPlease select13 Reo CresentAddress QLDPlease select298-300 Stapylton-Jacobs Well Road, Stapylton, QLD, 420738 Cobalt Street, Carole Park, QLD, 430031 Stradbroke Street, Heathwood, QLD, 4110168 Paringa Road, Murarrie, QLD, 4172223 Orchard Rd, Richlands, QLD, 4077110 Eastlake St, Carrara, QLD, 421112 Concorde Place, Caboolture, QLD, 4510227 Ewing Road, Woodridge QLD, 411459-69 Home Hill Road, Ayr, QLD, 480711 Rifle Range Road, Gayndah, QLD, 4625 Shed 4, 11 Production Street, Bundaberg, QLD, 467037 Weston Drive, Gatton, QLD, 434313-17 Martin Tenni Drive, Mareeba, QLD, 4880Cnr Warwick & Chandler Roads, Bowen, QLD, 480522 Clifford Road, Innisfail, QLD, 4860 Hewitt Siding - Bruce Highway, Tully, QLD, 4854137 Montague Rd, South Brisbane, QLD, 410128 Magnesium Dr, Crestmead, QLD, 413296 Tile St, Wacol, QLD, 407636 Suscatand St, Rocklea, QLD, 4106Address NSWPlease select2 Leewood Drive, Orange, NSW, 2800102/122 Gipps Road, Smithfield, NSW, 216411 Bulmer Avenue, Griffith, NSW, 268041-51 Scrivener St, Warwick Farm, NSW, 2170Gate 9, 41-51 Scrivener Street, Warwick Farm, NSW, 21706 Herbert Place, Smithfield, NSW, 2164126 Andrews Road, Penrith, NSW, 27501302 Snowy Mountains Hwy, Tumut, NSW, 27206-10 Burrows Road South, St Peters, NSW, 20441/10 Williamson Road, Ingleburn, NSW, 256520 Williamson Road, Ingleburn, NSW, 256543 Bay Road, Taren Point, NSW, 2229133 Reddalls Road, Kembla Grange, NSW, 252611A Ferndell Street, South Granville, NSW, 214230 Perry St, Matraville, NSW, 203671 Marigold Street, Revesby, NSW, 22128 Works Place, Milperra, NSW 2214170 Andrews Rd Penrith, NSW, 2750Address SAPlease select24-26 White Road, Gepps Cross, SA, 50943/10 Sharp Court, Mawson Lakes SA 50953/9 Sharp Court, Mawson Lakes SA 50951/9 Sharp Court, Mawson Lakes SA 50952 Matson Court, Gillman, SA, 501316-20 Johansson Rd, Wingfield, SA, 5013181 Morphett Rd, North Plympton, SA, 5037McKay Road, Berri, SA, 5343 625 Port Rd, West Croydon, SA, 5008Address WAPlease select49 Peel Rd, O'Connor, WA, 61636 Modal Street, Canningvale, WA, 61052-36 Bannister Road, Canning Vale, WA, 615594A Harrison Road, Forrestfield, WA, 605890 Collins Street, Donnybrook, WA, 6239Unit 3, 196 Bannister Road, Canning Vale, WA, 6155Ramsay Terrace, Donnybrook, WA, 6239Address ACTPlease select3/5 Foster Street, Queanbeyan, ACT, 2620Address NTPlease select10 Export Drive, East Arm, NT, 0822 Address TASPlease select8 Kelcey Tier Road, Spreyton, TAS, 7050Address NZPlease select85 Langley Road, Manukau City, Auckland, 2104 235 Roscommon Road, Wiri, Auckland, 2104122 Ingram Road, Rukuhia, Hamilton 3282107 Kerwyn Ave, East Tamaki, Auckland 2013Unit A/35 Wakefield Street, Onekawa, Napier,20-30 Bell Road South, Gracefields, Wellington,78 Treffers Road, Wigram, Christchurch107 Kerwyn Ave, East Tamaki, Auckland 2013Unit A/35 Wakefield Street, Onekawa, Napier20-30 Bell Road South, Gracefields, Wellington78 Treffers Road, Wigram, Christchurch,107 Kerwyn Ave, Auckland, 2013 211 Albany Highway, Albany, Auckland, 633029 Victoria Street, Onehunga, Auckland, 106121 Allens Rd, East Tamaki, Auckland, 2103752 Great S Rd, Auckland, 1061Other Address (if not in dropdown menu)Operator NameDOBAssessment1st Assessment1st Re-Assessment2nd Re-AssessmentLicence #Expiry DateStateVICQLDNSWWASAACTTASNTLicence ClassEmail Renewal Reminder ToCopy of Licence Upload% Completed02nd File Upload Upload% Completed0Equipment DetailsEquipment TypeForklift (Counterbalance)Forklift Paper Roll Clamp (Grab)Forklift Bale ClampOrder PickerReach Forklift TruckTurret TruckNarrow Aisle ForkliftSideloaderMantiou Rough TerrianCombilift/SideloaderReach StackerModelToyotaLindeKomatsuHysterYaleCrownGrendiaMitsubishiBaoliCapacity1T1.2T1.5T1.8T2T2.5T3T3.5T4T4.4T5T6T8T10T11T12T15T16T18T20T25TPower TypeLPGCNGElectricDieselPetrolUses AttachmentsForksSlippersJIBPaper Reel Clamp (Grab)Bale Clamp Safety CageFork SpreaderDrum LifterBin TipperRotatorDouble Fork SpreaderDouble Pallet HandlerBulk Bag Prong JibFixed Prong Drum PositionerHook & Tow JibTarp SpreaderCrane / Forklift Spreader BeamOther TypesOther Information (*Not able to be entered in the above fields*) Performance CriteriaUnit 1 - Conduct Pre-Operational ChecksOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 1Struggled to identify all elements of the pre-operational check and as a result was unable to provide a satisfactory pre-operational checkStruggled to identify all elements of the pre-operational check and required a lot of coaxing to identify the remaining elementsProvided a pre-operational checklist to use and studyUnit 2 - Attachment UseOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsDoes not use attachmentsCommentsAll operators are asked if they are aware of the attachment requirements, and then are advised of the legal requirements and their obligations. All operators are informed of the forklift capacity plate and attachment compliance plate requirements.Unit 3 - Inspect Site and Work PlansOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 3 Unit 4 - Equipment OperationsOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 4turning with the load raisedload not hard against the heel of the forksOperated in an unsafe mannerbear hugging the reelsgrabbing reels at the basetravelling with the load above axel heighthas poor attitude towards forklift operations Unit 5 - Obstacles & Control ChecksOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 5Struggled with load at height Unit 6 - Shutdown EquipmentOutcome*CompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 6fork-arm / attachment not lowered to the groundPark Brake not appliedEngine power is not turned offUNIT 7 - Secure the SiteOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 7Mounts / Dismounts forklift incorrectly not using 3 points of contactMounted / dismounted on the wrong side of forklift (Lever side)Unit 8 - Refuelling / Battery ChargingOutcomeCompetentNot Yet CompetentIssues IdentifiedNoneSee CommentsCommentsQuick CommentsSatisfactorily Completed Unit 8Did not shut down forklift as per shutdown procedureDid not wear correct PPE when refuellingDid not follow SWP when refuellingDoes not understand correct emergency proceduresHas very good knowledge of the battery charging process Unit 9 - QuestionnaireQuestions Correct*012345678910111213141516Total No. of Questions*15161814Verbal Assessment Required*NoYesQuestion Numbers Assisted With*0123456789101112131415161718AllN/ACommentsQuick CommentsCould not read or writeCould not understand the questionsCould not understand EnglishCould not write in EnglishPage 1 Upload Upload% Completed0Page 2 Upload Upload% Completed0Page 3 Upload Upload% Completed0Final OutcomeOutcome*CompetentNot Yet CompetentIssues Identified*NoYesRequires further training*NoYesFinish Time*Comments on Overall PerformanceQuick CommentsVery confident and competent operatorVery good operator, however lack knowledge of site policies and proceduresSignaturesOn signing this training/assessment course completion form, it is acknowledged that the above-named training course has been completed by the named Operator.Assessor Signature*Operator Signature* Submit
