Information

  • Site

  • Forklift reference number
  • Prepared by

  • Conducted on

Visual Check

  • General condition of forklift

  • Housekeeping of the area

  • Overhead guard

  • Fire extinguisher

  • Battery

  • Wheels and tires

  • Forks, backrest, mast, chains, rollers

  • Chain anchor pins

  • Fluid levels

  • Fluid leaks

  • Hoses

  • Air filter intake

  • Signage and stickers (if legible)

  • Propane tank (if applicable)

Operational Check

  • Engine

  • Steering wheel

  • Brakes

  • Gauges / Horn

  • Tilt / Sideshift

  • Headlights and warning lights

  • Seat belt

Recommendations

  • Remarks

Confirmation

  • Is the forklift safe to use?

  • Quarantine the forklift and do not use if unsafe.

  • Full Name and Signature of Operator

  • Full Name and Signature of Supervisor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.