ABC Office Furniture Diesel Forklifts Inspection Checklist

• Date of inspection

  Date

• Operators name

• model # of truck

• serial # of truck

• 29 CFR 1910.178(g)(7) States that all industrial trucks need to be inspected before being placed into service and shall not be placed into service if the examination shows any condition adversly affecting the safety of the vehicle. Such examinations shall be made at least daily.

• Mark either yes saying its good or no its not good and if marked no write down the problem and sumbit to management of safety

Engine off checks

• Leaks - fuel, hydrualic oil, engine oil or radiator coolant<br>29 CFR 1910.178(p)(4)

  Yes

  No

  N/A

• Tires - Condition and Pressure

  Yes

  No

  N/A

• Forks, Top Clip Retaining Pin and Heel - Check Condition

  Yes

  No

  N/A

• Overguard - Attached<br>29 CFR 1910.178(e)(1)

  Yes

  No

  N/A

• Finger Guards - Attached

  Yes

  No

  N/A

• Safety warnings - Attached (refer to parts manual for location)

  Yes

  No

  N/A

• Battery - check water/electrolyte level and charge<br>29 CFR 1910.178(g)(2)

  Yes

  No

  N/A

• All engine belts - check visually

  Yes

  No

  N/A

• Load Backrest - Securly Attached<br> Hydraulic Hoses, Mast chains cables and stops - check visually<br>29 CFR 1910.178(e)(2)

  Yes

  No

  N/A

• Hydraulic fluid level - check level

  Yes

  No

  N/A

• Engine oil level - dipstick

  Yes

  No

  N/A

• Transmission fluid level - dipstick

  Yes

  No

  N/A

• Engine air cleaner - squeeze rubber dirt trap or check the restriction alarm (if equiped)

  Yes

  No

  N/A

• Fuel sedimentor (diesel)

  Yes

  No

  N/A

• Radiator coolant - check level

  Yes

  No

  N/A

• Operators manual - in container<br>29 CFR 1910.178(3)(i)(M)

  Yes

  No

  N/A

• Nameplate - attached and information matches model, serial number and attachments<br>29 CFR 1910.178(a)(3)

  Yes

  No

  N/A

• Seat belt - functioning smoothly<br>29 CFR 1910.178(m)(2)

  Yes

  No

  N/A

• Hood latch - adjusted and securely fastened

  Yes

  No

  N/A

• Brake fluid - check level

  Yes

  No

  N/A

Engine on checks - unusual noises must be investigated immediately 29 CFR 1910.178(p)(1)

• Accelerator or direction control pedal - functioning smoothly

  Yes

  No

  N/A

• Service brake - functioning smoothly

  Yes

  No

  N/A

• Parking break - functioning smoothly

  Yes

  No

  N/A

• Steering smoothly - functioning smoothly

  Yes

  No

  N/A

• Drive control - forward/reverse - functioning smoothly

  Yes

  No

  N/A

• Tilt control - forward and back - functioning smoothly<br>29 CFR 1910.178(o)(6)

  Yes

  No

  N/A

• Hoist and lowering control - functioning smoothly

  Yes

  No

  N/A

• Attachment control - operation<br>29 CFR 1910.178(o)(4)

  Yes

  No

  N/A

• Horn and lights - functioning<br>29 CFR 1910.178(h)(2)

  Yes

  No

  N/A

• Guages: ammeter, engine oil pressure, hour meter, fuel level, temperature, instrument monitors - functioning

  Yes

  No

  N/A

• signature of completion

  Sign

• https://www.osha.gov/dte/library/pit/daily_pit_checklist.html

• Created by Robert Murphy for safety 111 class at Indiana University of Pennsylvania Email adress: zyvs@iup.edu