HO-CHUNK NATION CODE (HCC)
Tribal code
Ask Donna
What actually matters in this document.
Text
HO-CHUNK NATION CODE (HCC)
TITLE 6 – PERSONNEL, EMPLOYMENT AND LABOR CODE
SECTION 8 – OCCUPATIONAL SAFETY AND HEALTH
PROGRAM ACT OF 2002
SUBSECTION 6 – POWERED INDUSTRIAL TRUCK SAFETY
ENACTED BY LEGISLATURE: MAY 20, 2002
LAST AMENDED AND RESTATED: December 6, 2022
CITE AS: 6 HCC § 8-6
1. Authority. See basic document (Occupational Safety and Health Program Act).
2. Purpose. This subsection of the Occupational Safety and Health Program Act establishes
guidelines to be followed whenever any HCN employees work with powered industrial trucks.
The rules established are to be followed to provide a safe working environment; govern operator
use of powered industrial trucks; and ensure proper care and maintenance of powered industrial
trucks. These procedures establish uniform requirements designed to ensure that powered
industrial truck safety training, operation, and maintenance practices are communicated to and
understood by the affected employees. These requirements also are designed to ensure that
procedures are in place to safeguard the health and safety of all employees.
3. Definitions. See basic document (Occupational Safety and Health Program Act). In addition,
the following definitions apply to this subsection.
a. “Attachments” means devices (other than conventional forks or load backrest extensions)
mounted permanently or temporarily on the elevating mechanism of the truck. Popular types
include fork extensions, clamps, booms, rams, baskets, and personnel platforms.
b. “Capacity” is used to designate the weight-handling ability of a particular truck as
equipped.
c. “Dockboard” means a portable or fixed device for spanning the gap or compensating for
the differences in the level between loading platform and carrier.
d. “Forks” mean horizontal, tine-like projections, normally suspended from the carriage, that
engage and support loads.
e. “Operator” means a trained and authorized person who controls any function(s) of a
powered industrial truck.
f. “Powered Industrial Truck” or “truck” means any mobile power-propelled truck used to
carry, push, pull, lift, stack or tier materials. Powered industrial trucks can be
1
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 2 of 16
ridden or controlled by a walking operator. Vehicles covered include: high lift trucks, counterbalanced trucks, cantilevered trucks, rider trucks, forklift trucks, high lift platform trucks, low lift
trucks, low lift platform trucks, motorized hand trucks, pallet trucks, narrow aisle rider trucks,
straddle trucks, reach rider trucks, single side loader rider trucks, high lift order picker rider trucks,
motorized hand/rider trucks, and rough terrain trucks.
g. “Tiering” means the process of placing one load on or above another.
4. Training. Supervisors/managers shall ensure that each powered industrial truck operator is
competent to operate a powered industrial truck safely, as demonstrated by the successful completion
of the training and evaluation specified in this section.
a. Training Program Elements.
(1) Training shall consist of a combination of formal instruction (e.g., lecture, discussion,
interactive computer learning, video tape, written material), practical training (demonstrations
performed by the trainer and practical exercises performed by the trainee), and evaluation of the
operator's performance in the workplace. All operator training and evaluation shall be conducted by
persons who have the knowledge, training, and experience to train powered industrial truck operators
and evaluate their competence.
(2) Powered industrial truck operators shall receive initial training in the following:
(a) Truck-related topics:
1 Operating instructions, warnings, and precautions for the types of truck the operator
will be authorized to operate.
2 Differences between the truck and the automobile.
3 Truck controls and instrumentation: where they are located, what they do, and how
they work.
4 Engine or motor operation.
5 Steering and maneuvering.
6 Visibility (including restrictions due to loading).
7 Fork and attachment adaptation, operation, and use limitations.
8 Vehicle capacity.
9 Vehicle stability.
10 Vehicle inspection and maintenance that the operator will be required to perform.
11 Refueling and/or charging and recharging of batteries.
2
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 3 of 16
12 Operating limitations.
13 Any other operating instructions, warnings, or precautions listed in the operator’s
manual for the type of vehicle that the employee is being trained to operate.
(b) Workplace-related topics:
1 Surface conditions where the vehicle will be operated.
2 Composition of loads to be carried and load stability.
3 Load manipulation, stacking, and unstacking.
4 Pedestrian traffic in areas where the vehicle will be operated.
5 Narrow aisles and other restricted places where the vehicle will be operated.
6 Hazardous (classified) locations where the vehicle will be operated.
7 Ramps and other sloped surfaces that could affect the vehicle’s stability.
8 Closed environments and other areas where insufficient ventilation or poor vehicle
maintenance could cause a buildup of carbon monoxide or diesel exhaust.
9 Other unique or potentially hazardous environmental conditions in the workplace
that could affect safe operation.
(c) The requirements of this subsection.
(d) The initial training includes an evaluation of the employee’s knowledge and
performance.
b. Refresher Training.
(1) Refresher training is required when any of the following conditions occur:
(a) If the operator is involved in an accident or a near-miss accident.
(b) If the operator has been observed driving the vehicle in an unsafe manner.
(c) When the operator is assigned to a different type of truck.
(d) If it has been determined during an evaluation that the operator needs additional
training.
3
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 4 of 16
(e) When there are changes in the workplace that may affect safe operation of the truck.
This could include a different type of paving, reconfiguration of the storage racks, new construction
leading to narrower aisles, or restricted visibility.
(2) The type and amount of training needed in the refresher training depend on several
factors, including: the different characteristics of the new type of truck or terrain; the practice or
practices that the evaluation indicated needed improvement; the nature of the unsafe act; and the
potential for an accident to occur.
(3) The refresher training also includes an evaluation of the operator’s performance in the
workplace.
5. Evaluations.
a. Each certified powered industrial truck operator must be evaluated at least once every three
years to verify that the operator has retained and uses the knowledge and skills needed to drive
safely. If the evaluation shows that the operator is lacking the appropriate skills and knowledge, the
operator must be retrained.
b. The evaluation can be conducted by:
(1) Observing the operator during normal operations to determine if the operator is
performing safely, and
(2) Asking pertinent questions to ensure that the operator has the knowledge or experience
needed to operate a truck safely.
6. Certification.
a. After an employee has completed the training program, the instructor will determine whether
the potential driver can safely perform the job. As this point, the trainee will take a performance test
or practical exercise through which the instructor(s) will decide if the training has been adequate. All
powered industrial truck trainees are tested on the equipment they will be driving.
b. Certification that the required training and evaluation has been conducted and that the
employee is competent to perform the duties of an operator safely will be done by keeping a record
of the name of the trainee, the dates of the training, an outline of the training, and the name of the
person performing the training or evaluation.
c. Certification records must be maintained for three years.
7. Inspections. Operators will perform pre-operational equipment inspection on powered industrial
trucks prior to operating them each day.
4
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 5 of 16
a. The pre-operational inspection is performed by completing a daily truck inspection checklist.
See Appendix A-1.
b. No blank spaces are allowed on the form. If an item does not apply, use the code “N/A”.
c. Fill out the comment section thoroughly and accurately if there are any operational or visual
effects.
d. If the powered industrial truck is unsafe to operate, the operator is to remove the key from the
truck; place a “DANGER DO NOT OPERATE” tag on the steering wheel or control lever of the
truck; report the problem to their supervisor.
8. Maintenance. Investing time and effort into the proper upkeep of powered industrial trucks results
in day-to-day reliability. Keeping up with the manufacturer’s recommended maintenance and
lubrication schedules, and completing proper records, will also increase the trucks’ longevity.
9. Operating Procedures. Powered industrial trucks can create certain hazards that only safe
operation can prevent. Operators must obey all the following safety rules.
a. Driving.
(1) Use only powered industrial trucks approved for the location of use.
(2) Only start/operate a powered industrial truck from the designated operating location.
(3) Observe all traffic regulations, including speed limits and keeping to the right.
(4) Yield the right of way to pedestrians.
(5) Maintain safe distances from powered industrial trucks ahead.
(6) Travel at speeds that will permit vehicles to stop safely at all times.
(7) Avoid quick start/changes of direction.
(8) Turns must be negotiated by reducing speed and turning the steering wheel with a
smooth, sweeping motion.
(9) Maintain forks in proper position.
(10) Drive properly in reverse.
(11) Do not engage in stunt driving and horseplay.
(12) Drive slowly over wet or slippery floors.
(13) When the forks are empty, travel with the forks at a negative pitch as low to the floor as
practical.
5
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 6 of 16
(14) Approach elevators slowly and squarely. Once on an elevator, neutralize controls, shut
off power, and set the brakes.
(15) Direct motorized hand trucks into elevators with loads facing forward.
(16) Do not run over loose objects.
(17) Slow down and sound the horn and look at intersections, corners, and other locations
where vision is obstructed.
(18) Maintain a clear view of the direction of travel at all times. Look in the direction of
travel.
(19) Keep unauthorized personnel from riding on powered trucks.
(20) Keep all body parts within truck.
(21) Do not allow anyone to place their arms or legs between the uprights of the mast or
outside the running lines of the truck.
(22) Do not drive trucks up to anyone standing in front of a bench or other fixed object.
(23) A vehicle is considered “unattended” when an operator is 25 feet or more away from a
vehicle which remains in view, or whenever an operator leaves a vehicle and it is not in view.
Unattended trucks must be secured by: fully lowering forks or other attachments; neutralizing
controls; shutting off power; setting brakes.
(24) Secure trucks when dismounted operators are within 25 feet of a vehicle still in view by
fully lowering the load; neutralizing controls; setting brakes.
(25) Be aware of headroom under overhead installations, lights, pipes, door beams, and
sprinkler systems.
(26) Do not block access to fire or emergency exits, stairways, fire equipment, or electrical
panels.
(27) Sound the horn or other audible warning device at all intersections and corners to warn
pedestrians.
(28) Maintain safe distances from the edges of ramps or platforms while on any elevated
dock or platform.
(29) Dockboards and bridge plates must be secured before vehicles cross over them. Be sure
they do not exceed rated weight limits.
(30) When ascending or descending a grade or incline, proceed slowly and with caution; tilt
or raise the forks and attachments only as far as necessary to clear the surface; and sound the horn
before ascending or descending.
6
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 7 of 16
(31) Do not park on inclines, ramps, or dock plates. If you must park on an incline, block the
wheels.
(32) Do not use powered industrial trucks for any purpose other than what they were
designed.
(33) Clean up all fluid leaks (oil, hydraulic, transmission, etc.) from the floor.
(34) Do not operate a powered industrial truck with a leak in the fuel system until the leak
has been corrected.
(35) If the warning device (like a warning lamp or sound-producing device) comes on, stop
the truck as soon as possible.
(36) Follow manufacturer’s recommended emergency procedures for fire or tipover and be
familiar with manufacturer’s emergency equipment.
(37) Do not modify a powered industrial truck.
(38) Report all powered industrial truck accidents involving employees, building structures,
and equipment to immediate supervisor.
b. Load Lifting and Carrying. Each truck has its own load capacity, which is indicated on the
rating plate. Powered industrial trucks also have three-point suspension that forms an imaginary
triangle from the left front wheel to the right front wheel to the point between the two back wheels.
The center of gravity for a powered industrial truck must lie somewhere within this triangle or else
the truck will tip over. The load and its position on the forks, as well as traveling speed and slopes,
all affect the center of gravity. There are a number of concerns for lifting and carrying loads. These
include stability, obscured vision, falling loads, elevated workers, ascending and descending grades,
attachments that permit the truck to move odd-shaped material or carry out tasks that may not have
been envisioned when the truck was designed and manufactured. Operators must obey all the
following load lifting and carrying procedures:
(1) Handle loads only within the capacity rating of the truck.
(2) Use a forking system which suits the load.
(3) Do not allow anyone to stand or pass under the elevated portion of any truck whether
empty or loaded.
(4) Do not start a powered industrial truck or operate any of its functions or attachments from
any position other than from the designated operator’s position.
(5) Keep a clear view of the path of travel and look for other traffic, personnel and safe
clearances. If the load being carried obstructs forward view, travel with the load trailing.
7
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 8 of 16
(6) When traveling with a load on the forks, travel with the load as low to the floor as
practical with the load tilted back slightly for improved stability.
(7) When ascending or descending a grade or incline, drive with the load positioned upgrade
or uphill when the truck is loaded.
(8) When unloading or loading semi-trailers: check condition of dock leveler plate and trailer
floor before entering, set the brakes of the semi-tractor, and chock the rear wheels of the trailer.
(9) Backup Procedure and Sequence. Pivot at the waist and inspect the area of operation in
the rear of the fork truck, watching for obstructions and pedestrians. Blow the horn to alert any
pedestrians that may or may not be visible. Engage the directional lever to the reverse position.
Concentrate on the removal of the forks from the load to avoid any load disturbance, as you back the
fork truck out of the load. Stop the fork truck 18” to 24” away from the load’s resting location and
lower the forks to the proper travel height and angle.
(10) Load Placement. Square the fork truck with the load resting location. Stop the fork truck
18” to 24” away from the load resting location. Raise the load to proper entry height. Drive forward
with the load and position the load over its resting location. Lower the load to a height of 4” if
possible. Tilt the load forward to a level position. Lower the load to its resting platform. Back up the
unit using proper back up procedures and sequence. Do not attempt to move loads with broken
pallets.
(11) Load Retrieving. Tie together unstable loads. Square the fork truck with the load resting
location. Stop the fork truck 18” to 24” away from the load resting location. Raise the forks to eye
level and level the forks to a horizontal position. Raise the forks to the proper entry height. Slide the
forks into the load and maintain the clearance around the forks to avoid load disturbance. Be sure to
place the heaviest part of the load closest to the backrest. Raise the load so it is completely suspended
from its resting platform. Be sure to support and center the load so that it will not fall forward or
sideways. Tilt the load back. Visually inspect the rear area of the fork truck to ensure no pedestrians
are behind or around the unit. Back up the unit using proper back up procedures and sequence. Back
up the fork truck 18” to 24” and stop.
(12) Know the load limits of elevators.
(13) Whenever a truck is equipped with vertical only, or vertical and horizontal controls
elevatable with the lifting carriage or forks for lifting personnel, use these precautions: Use a safety
platform that is firmly secured to the lifting carriage and/or forks. Provide a way for the person on the
platform to shut off power to the truck. Provide protection from falling objects.
c. Fuel Handling and Storage. Some powered industrial trucks operate with highly flammable and
combustible fuels.
(1) The storage and handling of liquid fuels such as gasoline and diesel fuel shall be in
accordance with NFPA Flammable and Combustible Liquids Code (NFPA 30).
8
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 9 of 16
(2) The storage and handling of liquefied petroleum gas fuel shall be in accordance with
NFPA Storage and Handling of Liquefied Petroleum Gases (NFPA 58).
(3) Never smoke in fueling areas.
(4) Prevent open flames, sparks, or electric arcs while fueling.
(5) Never fuel a powered industrial truck while the engine is running.
(6) Keep solvent waste, oily rags, and flammable liquids (liquids having a flashpoint below
140º F and capable of being easily ignited, burning intensely, or having a rapid rate of flame spread)
in fire resistant covered containers until removed from the workplace.
(7) To change an LP gas tank: put on leather work gloves and goggles; disconnect powered
industrial truck valve from the empty LP cylinder; replace with full cylinder; strap in the cylinder and
reconnect the truck valve securely to the cylinder outlet; open cylinder valve and listen for leaks; if
leaking, close cylinder valve and slowly uncouple the fuel valve; try to reconnect; if still leaking, try
a different cylinder and notify department management of faulty cylinder; if no leaks are present, lift
truck may be utilized.
d. Battery Charging and Changing.
(1) Batteries present a hazard because they contain corrosive chemical solutions, either acid
or alkali. During recharging, a worker may be exposed not only to the acid solution, but to hydrogen
gas that is produced during the recharging process. Because of the hazards involved in battery
charging and changing, only personnel who have been trained in the appropriate procedures,
understand the dangers involved, and know the appropriate precautions to take may be allowed to
perform this work.
(2) There are two types of batteries that are commonly used in electric lift trucks: lead and
nickel-iron. These batteries present a hazard because they contain corrosive chemical solutions,
either acid or alkali. If battery acid is splashed on a person, it will burn the skin; if splashed in the
eyes, it can cause blindness; and if it gets on clothing, it will eat holes in it. During recharging, a
worker may be exposed not only to the acid solution, but to hydrogen gas which is produced during
the recharging process. Hydrogen gas may present an explosive hazard. Therefore, smoking, open
flames, sparks, and electric arcs are prohibited in charging areas. An effective means of fire
protection must be provided in the area. Because of the hazards involved in battery charging and
changing, only personnel who have been trained in the appropriate procedures, understand the
dangers involved, and know the appropriate precautions to take should be allowed to perform this
work.
(3) Due to the hazards above, it is necessary to:
(a) Provide battery charging installations located in areas designated for that purpose.
9
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 10 of 16
(b) Provide fire protection, in the form of a fire extinguisher.
(c) Provide for quick drenching of the eyes and body within 25 feet of battery handling
areas.
(d) Provide facilities for flushing and neutralizing spilled electrolyte.
(e) Provide a means of protecting charging apparatus from damage by trucks.
(f) Ventilate the battery charging area to prevent the build-up of hydrogen gas.
(g) Provide acid resistant floors in the battery handling area unless protected from acid
accumulations.
(h) Provide eye and face protection, gloves, protective footwear, long-sleeved shirts, and
aprons.
(i) Provide an easily accessible first aid kit in the charging/changing area.
(4) The following are good battery charging/changing procedures:
(a) When removing battery covers to add or inspect electrolyte levels, wear proper
goggles, face shield, rubber gloves, and an apron. Protective equipment is not required when filling
batteries equipped with an automatic filler.
(b) Wear appropriate foot protection where there is the risk of foot injury.
(c) If the powered industrial truck is not put on a charge during off shifts or weekends,
disconnect the battery plug from the truck plug.
(d) Do not smoke in the battery charging area.
(e) Wear hearing protection in the battery charging area if necessary.
(f) Prevent open flames, sparks, and electric arcs in the battery charging area.
(g) Keep tools and other metallic objects away from the tops of uncovered batteries.
(h) Keep the charging area clean.
(i) Keep the charging area work surface dry and slip-resistant.
10
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 11 of 16
(j) When batteries are being charged, keep the vent caps in place to avoid electrolyte
spray.
(k) Take care to assure that vent caps are functioning. The battery (or compartment)
cover(s) must be open to dissipate heat.
(l) When charging batteries, acid must be poured into water; water must not be poured
into acid.
(m) Provide carboy tilter or siphon for handling electrolyte.
(n) Clean up spilled materials or liquids in the charging area immediately.
(o) Always use a battery replacement that is within the weight range specified on the
nameplate of the truck in order to maintain vehicle stability.
(p) Properly position and secure reinstalled batteries to the truck.
(q) Securely position and set the brakes of a truck before attempting to change or charge
the battery.
(r) Ensure that all workers in the immediate area of the changing area stay clear when the
battery is moved.
(s) Know where the eyewash station is located.
(t) Know where the first aid kit is located.
e. Carbon Monoxide Awareness.
(1) Powered industrial trucks with internal combustion engines produce carbon monoxide
(CO), an odorless, colorless, and deadly gas produced by the incomplete burning of any material that
contains carbon. These materials include gasoline, natural gas, propane, coal, and wood.
(2) If inhaled, CO restricts the ability of your blood system to carry oxygen to the body
tissues that need it. Overexposure combined with less oxygen results in carbon monoxide poisoning.
Mild poisoning can result in headaches, tightness in the chest, dizziness, drowsiness, inattention,
fatigue, flushed face, or nausea.
(3) Take the following steps to prevent CO poisoning:
(a) Purchase trucks which comply with national safety standards.
(b) Ensure that powered industrial trucks are maintained in good order.
11
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 12 of 16
(c) Only allow qualified persons to modify powered industrial trucks but only if approved
by the manufacturer.
(d) Switch from fossil fuel-powered to battery-powered trucks where possible.
f. Personal Protective Equipment (PPE).
(1) There are a number of hazards for powered industrial truck operators, including, but not
limited to: Injurious gases, vapors, and liquids; dusts or powders, fumes, and mists; flying objects or
particles; foot compression or puncture; slipping; extreme heat or cold; hand cuts, punctures,
abrasions, and crushing; electricity; materials handling; falling objects; bumping head or other body
part against fixed objects; noise; falling from an elevated platform attached to the powered industrial
truck; falling out of the powered industrial truck; and being crushed by a tipped over powered
industrial truck.
(2) Depending on the situation, there are several types of PPE operators may be required to
use, including, but not limited to: safety glasses; goggles; face shields; safety shoes; metatarsal
guards; safety boots; sole puncture resistant footwear; gloves; barrier creams; mitts; finger cots;
thimbles; protective helmets; warm clothing or suits; respirators; electrical gloves; rubber insulating
sleeves; body harnesses.
(3) If a powered industrial truck is equipped with a seat belt or other restraining device, the
operator must use these devices. This will reduce the risk of entrapment of the head and torso
between the truck and the ground.
(4) All operators required to wear this equipment will be trained when PPE is necessary;
what PPE is necessary; how to properly put on, take off, adjust, and wear PPE; limitations of the
PPE; and proper care, maintenance, useful life, and disposal of PPE. (See Subsection 7 Personal
Protective Equipment for more details.)
g. Pedestrians. Because powered industrial trucks are typically used near pedestrians, both
pedestrians and powered industrial truck operators need to watch out for each other.
(1) All powered industrial truck operators must:
(a) Yield the right of way to pedestrians.
(b) Sound the horn or other audible warning device at all intersections and corners to
warn pedestrians.
(c) When backing up, pivot at the waist and inspect the area of operation to the rear of the
powered industrial truck, watching for obstructions and pedestrians and blow the horn to alert any
pedestrians that may or may not be visible.
12
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 13 of 16
(d) When retrieving a load and before backing up, visually inspect the rear area of the
powered industrial truck to ensure no pedestrians are behind or around the unit.
(e) Never allow riders on any powered industrial truck.
(f) Never engage in horseplay.
(g) Do not allow pedestrians to walk under loads.
(h) Do not allow anyone to place their arms or legs between the uprights of the mast or
outside the running lines of the truck.
(i) Do not drive trucks up to anyone standing in front of a bench or other fixed object.
(2) All pedestrians must:
(a) Look out for powered industrial trucks and give them the right of way.
(b) Listen for horns and other warning devices.
(c) Use any provided mirrors to assist with vision around corners.
(d) Do not walk in front of, behind, or beside a powered industrial truck.
(e) Never walk or stand under a raised load.
(f) Do not hitch a ride on a powered industrial truck.
10. Administration and Enforcement. See Section 12 of the Occupational Safety and Health
Program Act.
Appendix A: Driving Skills Evaluation
A-1. Physical Examination of Lift Truck
A-2. Knowledge of Safeguards Within the Facility
A-3. Operating Skills Evaluation
_________________________________________________________________________________
Legislative History:
12/6/01 Reviewed by Administration Committee.
1/9/02 Legislature posts for 45-day Public Review.
5/20/02 Enacted as Powered Industrial Truck Safety (6 HCC § 8-6) by Legislative Resolution 5/20/02E.
9/29/22 Legislature posts for 45-day Public Review.
12/6/22 Enacted as Powered Industrial Truck Safety (6 HCC § 8-6) by Legislative Resolution 12-06-22E.
13
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 14 of 16
APPENDIX A (DRIVING SKILLS EVALUATION) TO SUBSECTION 6 (POWERED
INDUSTRIAL TRUCKS) TO SECTION 8 (OCCUPATIONAL SAFETY AND HEALTH
PROGRAM ACT) TO TITLE 6 (PERSONNEL, EMPLOYMENT AND LABOR CODE) OF
THE HO-CHUNK NATION CODE (HCC)
A-1 PHYSICAL EXAMINATION OF LIFT TRUCK (TOUCH AND TELL)
The objective of this rating sheet is to ensure that employees understand the mechanics of the lift
truck as well as all of those items that involve standard checking prior to driving the lift truck.
The operator should be familiar with the features of the lift truck. This can be evaluated by having
the operator demonstrate and describe the following: (S = Satisfactory, U = Unsatisfactory)
PROCEDURE
Proper use of tilt.
Proper use of raise and
lower.
Proper use of horn.
Check for oil leaks.
Check mast chains.
Check tilt and lift
cylinders for wear and/or
leakage.
Check brakes.
Check tires and wheels.
Check hour meter.
Check scissors reach.
Check warning light.
Check rear view mirror.
Check battery retainer.
Check discharge indicator.
Check back up alarm.
Check hose and hose reel.
Check overhead guard’s
light.
Know capacity of lift
truck.
S
U
14
COMMENTS
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 15 of 16
A-2 KNOWLEDGE OF SAFEGUARDS WITHIN THE FACILITY
The operator is asked to identify many safety items at the dock and battery recharging area, as well as
overall safety. Evaluate the operator’s knowledge of the following items: (S = Satisfactory, U =
Unsatisfactory)
PROCEDURE
Dock
Wheel chocking
Dock plate
Trailer lighting
Condition of trailer
floor
Keep clear of dock
loading area
Be aware of signs
Correct height of
empty pallets
Commercial battery
rules
Fire and safety
Location of
extinguishers
Type of extinguisher
to use
Eye protection
during banding
Battery charging area
Protective equipment
Acid neutralizing
SDS
No smoking
Plug/unplug
procedures
Clean-up procedures
Eyewash station
Personal safety
Use of eye protection
during banding
operations
S
U
15
COMMENTS
Ho-Chunk Nation Legislature
Occupational Safety and Health Program Act
Powered Industrial Trucks
Page 16 of 16
A-3 OPERATING SKILLS EVALUATION
Determine the operating skills of employees by making a full evaluation while they are driving the lift
truck. (S = Satisfactory, U = Unsatisfactory)
PROCEDURE
S
U
Did the operator pull forward toward
the designated section of racking
without endangering anyone?
Did the operator place the forks under
the pallet properly?
Did the operator raise or tilt the load
properly?
Did any part of the container strike
any section of racking while
removing the pallet?
Did the operator lower the pallet
before moving or backing out? (Don’t
drive & lower the pallet at the same
time.)
Did the operator drive at a safe speed?
Did the operator slow down or stop at
cross aisles?
Did the operator sound his/her horn at
blind intersections?
Did the operator pull into the racking
area properly to place the pallet back
in the racking?
Did the operator strike any racking on
the way up or going into the rack?
Did the operator back out and lower
his/her forks before moving?
Did the operator always look behind
before backing up?
Was the operator wearing personal
protective equipment?
Did the operator drive around the
block of wood or obstacle on the
floor, or did he/she get out of the
truck and remove it?
Did the operator set the load flat on
the floor before getting out of the
truck?
Did the operator pull forward toward
the designated section of racking
without endangering anyone?
Did the operator perform any moves
that were potentially dangerous?
16
COMMENTS
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.