CRS Forklift Inspection

• Project name

  Yes

  No

  N/A

• Project number

  Yes

  No

  N/A

• Conducted on

  Date

• Prepared by

General Information

• Project Name

  Select SHOP FIELD

  • SHOP
  • FIELD

• E#

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Date inspected

  Date

• Equipment #

Inspection Criteria

• Forks free of damage

  Yes

  No

  N/A

• Forks legal for this machine

  Yes

  No

  N/A

• Engine oil correct

  Yes

  No

  N/A

• Hydraulic fluid ok

  Yes

  No

  N/A

• Hydraulic leaks

  Yes

  No

  N/A

• Condition of hydraulic hoses

  Yes

  No

  N/A

• Fuel, engine coolant, brake fluid level

  Yes

  No

  N/A

• Tire pressure

  Yes

  No

  N/A

• Tire condition

  Yes

  No

  N/A

• Tire condition

  Yes

  No

  N/A

• Tire ballast

  Yes

  No

  N/A

• Lugs tight

  Yes

  No

  N/A

• Seat belt in working order

  Yes

  No

  N/A

• Backup alarm working

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Lights and signals working

  Yes

  No

  N/A

• Load chart visible to operator

  Yes

  No

  N/A

• Fire extinguisher charged

  Yes

  No

  N/A

• Mirrors free from damage

  Yes

  No

  N/A

• Roll over protective structure

  Yes

  No

  N/A

• Frame level indicator working

  Yes

  No

  N/A

• Boom angle indicator working

  Yes

  No

  N/A

• Operator manual on machine

  Yes

  No

  N/A

• Any evidence of structural damage

  Yes

  No

  N/A

• Floorboard free of debris

  Yes

  No

  N/A

• All gauges working properly

  Yes

  No

  N/A

• Brakes working properly

  Yes

  No

  N/A

• Parking brake working

  Yes

  No

  N/A

• Steering (all modes) working properly

  Yes

  No

  N/A

• Transmission

  Yes

  No

  N/A

Hydraulic controls function test and cycle

• Boom/mast - up & down

  Yes

  No

  N/A

• Boom - extend & reach

  Yes

  No

  N/A

• Fork tilt - up & down

  Yes

  No

  N/A

• Fork tilt/ carriage tilt - left & right

  Yes

  No

  N/A

• Frame level - left & right

  Yes

  No

  N/A

• Traverse - forward & back

  Yes

  No

  N/A

• Out riggers - up& down

  Yes

  No

  N/A

• Fork slide - left & right

  Yes

  No

  N/A

• Comments

Signatures

• Inspectors signature

  Sign

• Superintendents Signature

  Sign