CAI - Forklift Daily Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Operator Name:

• List the Make & Model of the Forklift

WALK AROUND

• Clean Appearance - Forklift Body is free of excessive grease, oil, etc.

  Yes

  No

  N/A

• Indicators and Markings (can be read)

  Yes

  No

  N/A

• Forks & Mast are bent, worn, or cracked

  Yes

  No

  N/A

• Attachments (if equipped) operate OK & are not damaged

  Yes

  No

  N/A

• Doors - Operate correctly

  Yes

  No

  N/A

• Load Back Rest Extension is in place and not bent, cracked, or loose

  Yes

  No

  N/A

• Overhead Guard is in place and not bent, cracked, or loose

  Yes

  No

  N/A

• Steps - in place and secure

  Yes

  No

  N/A

• Tires are inflated & free of excessive wear or damage. Nuts are tight

  Yes

  No

  N/A

• NO VISIBLE LEAKS OR FLUIDS - Oil - Engine, Hydraulic, Gear should be full and free of leaks

  Yes

  No

  N/A

ENGINE COMPARTMENT

• Air Filter / Cleaner - Checked

  Yes

  No

  N/A

• Battery & Battery Terminal Connectors (if applicable) charge level is OK

  Yes

  No

  N/A

• Covers over battery and other hazardous parts are in place & secure

  Yes

  No

  N/A

• Oil Level - Checked

  Yes

  No

  N/A

• Fire Extinghisher

  Yes

  No

  N/A

• Fuel Filter (visual Check) -

  Yes

  No

  N/A

• Hydraulic Fluid - (check level is OK)

  Yes

  No

  N/A

• Radiator full ( check only when cold ) and free of leaks

  Yes

  No

  N/A

CAB - PRESTART

• Seat Belt, Restraint, or Harness are accessible & not damaged, oily, or dirty

  Yes

  No

  N/A

• Load Rating Chart/Plate is present and legible

  Yes

  No

  N/A

• Warning Decals & Operators Manual are present & legible

  Yes

  No

  N/A

• Mirrors and Visibility (line of sight clear as possible)

  Yes

  No

  N/A

ENGINE START/IDLE CHECK

• Accelerator - is smooth and operational

  Yes

  No

  N/A

• Engine runs smooth & quiet without leaks or sparks from exhaust

  Yes

  No

  N/A

• Brakes work & function smoothly without grabbing. No fluid leaks

  Yes

  No

  N/A

• Parking Brake will hold the forklift on an incline

  Yes

  No

  N/A

• Control Levers are labeled, not loose or binding & freely return to neutral

  Yes

  No

  N/A

• Gauges & Instruments are all functional

  Yes

  No

  N/A

• Horn functions properly

  Yes

  No

  N/A

• Turn Signal (if equipped) operates smoothly

  Yes

  No

  N/A

• Lights (head, tail, and warning) work & are aimed correctly

  Yes

  No

  N/A

• Lift & Lower operates smoothly without excess drift

  Yes

  No

  N/A

• Tilt operates smoothly without excessive drift or "chatter"

  Yes

  No

  N/A

• Steering is smooth & responsive, free of excessive play

  Yes

  No

  N/A

• Backup Alarm (if equipped) functions properly

  Yes

  No

  N/A

• Further Comments (list items needing repair or adjustment):

• Signature of Operator

  Sign