Jenkins Academy of Applied Technology
Employer practical training and workplace evaluation
Powered Industrial Trucks · Online knowledge course resource v1.0.0 · October 21, 2026
Save your entries: this form does not automatically store data. Print or save the completed form as PDF before closing. Blank fields mean evidence is pending. Do not use a signature or quiz result to substitute for actual instruction, practice or evaluation.
Practical training and workplace evaluation are distinct required components. Use qualified persons with the knowledge, training and experience to train/evaluate operators. Trainees operate only under qualified direct supervision and without endangering themselves or others. Do not create a near miss, tipover, spill, unstable load or person in a conflict area for an exercise.
Stage 1 — Practical training
Record trainer demonstrations and trainee exercises separately. State what was demonstrated/practiced, dates, conditions and evidence. Record Not applicable only with a specific reason consistent with the assignment. Correct unsafe performance and practice again in the safe arrangement.
| Skill area | Trainer demonstration / date | Trainee exercise / result / date |
|---|---|---|
| Assignment and understanding Explains actual truck/attachment limits, current manual, assignment boundaries and stop/report actions. | ||
| Inspection and defects Performs permitted actual checks safely; identifies a simulated defect, reports it and explains out-of-service/authorized release. | ||
| Controls and operator protection Uses actual instruments, start/stop, steering/brakes, restraints, warning devices and permitted controls without bypassing safeguards. | ||
| Capacity and load assessment Uses actual applicable plate/configuration, reliable weight/load-center data and load-condition checks; rejects an unsuitable scenario. | ||
| Travel and pedestrians Maintains a clear path/view, safe speed/stopping/following distance, smooth turning and rear-swing control; follows crossings and separation. | ||
| Load manipulation and storage Demonstrates approved approach, engagement, lift/lower, travel position, stack/unstack and withdrawal with stable loads and clearances. | ||
| Actual routes and grades Addresses floors, ramps, narrow places, overhead limits and required orientation/visibility using permitted actual maneuvers. | ||
| Docks / trailers / special interfaces if assigned Verifies movement prevention, dockboard capacity/security, floor/support and communication; follows assigned special-interface procedure. | ||
| Fuel/battery duties if assigned Demonstrates only assigned actual-system tasks with approved controls, PPE and equipment; recognizes duties reserved for others. | ||
| Environmental and location restrictions Explains actual ventilation/exhaust controls, classified-location limits and response to an unsafe condition. | ||
| Parking and emergency actions Secures actual truck correctly; explains manufacturer-specific tipover response and safe emergency/reporting actions without inducing an event. | ||
| Unique assigned conditions and changes Applies other actual instructions; recognizes when a new truck/type, condition, event or performance issue requires intervention. |
Stage 2 — Workplace performance evaluation
Evaluate actual operator performance in the workplace, with suitable controls. Do not treat the training log, quiz or checklist signature as the evaluation. For each area record Competent demonstrated, Needs correction, or Not applicable with reason; include observed evidence, date and conditions. These response labels are Academy design choices.
| Performance area | Observed workplace evidence / result / correction |
|---|---|
| Assignment and understanding | |
| Inspection and defects | |
| Controls and operator protection | |
| Capacity and load assessment | |
| Travel and pedestrians | |
| Load manipulation and storage | |
| Actual routes and grades | |
| Docks / trailers / special interfaces if assigned | |
| Fuel/battery duties if assigned | |
| Environmental and location restrictions | |
| Parking and emergency actions | |
| Unique assigned conditions and changes |
Do not mark competence established while gaps remain. Complete the employer certification using actual training/evaluation information. The employer makes the assignment decision for the defined scope.
Basis: 29 CFR 1910.178(l)(1)–(4), (6). The worksheet is an Academy support tool, not an automatic certification.