Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Before Operations
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Pre-use inspection completed?
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PPE worn properly?
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Equipment have been reported?
Getting on and off the forklift
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Operator uses 3 point contact when getting on and off the forklift?
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Forks are lowered and placed on the floor when leaving the forklift?
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Parking brake is always set before leaving forklift?
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Forklift is switched off and key is maintained in the specified place when ending operations?
Forklift Operations
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Forklift path is checked for any personnel or obstacles before proceeding on the forklift?
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Quick starts or quick stops are not performed?
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Specified speed limit is followed? (6mph or less)
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Material has been checked for any damages and unstable stacks?
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Loads on the pallet are transported after confirming that the load is stacked safely and in stable condition?
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Forklift is paused and position of the forks is confirmed before inserting forks?
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Forks are positioned in the pallet properly?
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Loads are lowered correctly?
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Forklift is not driven with loads higher than 2 to 4 inches from the surface?
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The forklift mast is tilted back to maintain loads during operations?
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The operator drives in reverse when the view is obstructed?
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Operator stops and sounds horn at intersection?
Loading and Unloading
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Unsafe behavior such as riding on the trucks or mast is not performed?
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Product is loaded and stacked properly during the loading / unloading process?
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No single item is loaded that exceeds the back rest that is consider to be unsafe for travel?
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All dock constraints are utilized during the loading / unloading process?
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Operator Signature
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Observed By
