Forklift Road Test Report Form

Operator Information

Name Date Forklift Type Instructor

Pre-Operational Check

Item	Pass	Fail	Comments
Controls Function Properly
Brakes/Steering
Warning Devices
Tires
Forks/Mast Condition
Other

Operational Skills Assessment

Task	Pass	Fail	Comments
Mounting/Dismounting Forklift
Starting/Stopping
Driving (Forward/Reverse)
Turning
Load Handling
Parking
General Safety
Other

Comments/Recommendations

Signatures

Operator Signature Date

Instructor Signature Date