COMPETENCY CHECKLISTCOMPETENCY CHECKLISTThis checklist is designed to ensure the most critical component in each skill area is competently demonstrated by the worker.NameFirst NameLast NameTodays DateCompetency test UndertakenWork AreaASSESSMENTLicenses & TrainingDrivers License current Yes NoDriver License ExpiryWH&S License Current (Forklift, EWP etc) Yes No Not applicableWH&S License ExpiryChemical Accreditation Yes No Not applicableChemical Accreditation ExpirySite Induction Completed Yes NoCommentsSAFE WORK PROCEDURESCompletionForklift Yes No Not applicableTractor Yes No Not ApplicableTowing Heavy Vehicles Yes No Not applicableAttachments Yes No Not ApplicableRefueling Yes No Not applicableSpraying Chemicals Yes No Not applicableTrucks and Utilities Yes No Not applicableUtility Vehicles Yes No Not applicableEWP - Cherry Picker Yes No Not applicableWorking Alone Yes No Not applicableScissor Lift Yes No Not applicableCommentsOPERATIONDemonstration / Observation / KnowledgeDemonstrated Pre-start Requirements Yes NoDemonstrated knowledge of Controls and Dials Yes NoDemonstrated Maintenance Requirements Yes NoDemonstrated Knowledge of PPE Requirements Yes NoDemonstrated Knowledge of Size, Awkward Loads & Charactistics Yes No OtherOtherCheck for Clear Pathways When Carrying Loads Yes No Demonstrated and Observed Travelling on a Public Road Yes No Not ApplicableOperating in the Field Yes No Not ApplicableOperating in and around the Production / Farm Buildings Yes No Not Applicable Knowledge / Understanding Knowledge / Understanding of Relevant Safe Work / Operating Procedures Yes NoKnowledge / Understanding Of What To Do In An Emergency Yes NoKnowledge / Understanding Of The Site Traffic Plan Yes NoKnowledge / Understanding Of Crossing Public Roads Yes No Not applicableDrives to Conditions When Towing - Terrain, Weather etc Yes No Not applicableCommentsFIRST AID & EMERGENCIESUnderstanding of What To Do When Working Alone Yes No Not applicableUnderstanding of What To Do In An Emergency Yes No Not applicableUnderstanding of How to Operate a Fire Extinguisher Yes No Not applicableUnderstanding of How to Report a WH&S Incident, Accident, Hazard or Near Miss Yes No Not applicableCommentsSIGN OFFI have observed this worker in the knowledge, understanding and operation of the safe operation of the identified machinery.I have deemed them Competent IncompetentAction (if required) One-on-one training Redo SWPs Reassign Employee to complete relevant SWP OtherOtherComments if incompetentName First NameLast NamePositionSignature Sign Here EMPLOYEE QUESTIONNAIREMust you complete a pre-start check before operating any machinery ? Yes NoRadio FieldIs it your responsibility to report all machinery faults? Yes NoMust you disengage the PTO before leaving the tractor seat? Yes No Not applicableDo you give way to all traffic when crossing a public road? Yes No Not applicableShould you inform your supervisor when your license is compromised in any way? (E.g. DUI, Disqualification etc) Yes NoAre you allowed to operate machinery if you are not trained, authorised or competent to do so? Yes NoDo you understand that all machinery must be operated as per the safe work procedure? Yes NoMust you report all accident, incidents and near misses Immediately? Yes NoShould you complete a pre-start safety check before operating any machinery? Yes NoIs it necessary to always wear the relevant and mandatory PPE? Yes NoCan you operate any machinery if you are unfamiliar with it's operation? Yes NoMust you operate machinery in a safe and competent manner? Yes NoCan you operate unsafe machinery? Yes NoDo you understand that if you require more training you must ask? Yes NoSignature Sign Here Qualifications & LicensesBrowse Files Submit
