Machinery Operation Competency Checklist

Operator Information

Name Employee ID Department Date

Machine Details

Machine Name/Type Serial/Asset Number

Competency Checklist

Task/Skill	Competent	Not Competent	Comments
Pre-operation inspection
Knowledge of controls
Safe machine start-up
Standard operation procedures
Shutdown procedure
Emergency procedures
Housekeeping & maintenance

Assessor's Comments

Signatures

Operator Signature Assessor Name Assessor Signature Date