Equipment Inspection - Able Machinery Movers

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Truck Information

• Equipment Type:

  Warehouse Forklift

  Telehandler (Offroad Forklift)

  Twin Lift LP

• Unit #

• Hours:

• Electric/Diesel/LPG:

  Propane / Gas

  Electric

• Make:

• Model:

• Serial Number:

• Capacity:

• Attachments:

  Select Forks Rig Ready Boom Other (note the attachment used) None

  • Forks
  • Rig Ready Boom
  • Other (note the attachment used)
  • None

Visual Inspection

• Propane / Electric

  Propane / Gas

  Electric

• Battery:

  Full

  Half-Full

  Empty

• Vent Caps:

  Safe

  At Risk

  N/A

• Connector Covers:

  Yes

  No

  N/A

• Cables:

  Safe

  At Risk

  N/A

Propane Tank

• Relief Valve:

  Safe

  At Risk

  N/A

• Fuel Level:

  Full

  Half-Full

  Empty

• Leaks:

  Safe

  At Risk

  N/A

• Safety Straps:

  Safe

  At Risk

  N/A

Engine Compartment

• Engine Oil

  Full

  Half-Full

  Empty

• Hydraulic Oil

  Full

  Half-Full

  Empty

• Air Filter

  Good

  Fair

  Poor

  N/A

• Fan Belt

  Safe

  At Risk

  N/A

• Overhead Guard

  Safe

  At Risk

  N/A

• Operators Manual

  Yes

  No

  N/A

• Fire Extinguisher & Bracket

  Safe

  At Risk

  N/A

• Rear Tire (Left)

  Safe

  At Risk

  N/A

• Rear Tire (Right)

  Safe

  At Risk

  N/A

• Front Tire (Left)

  Safe

  At Risk

  N/A

• Front Tire (Right)

  Safe

  At Risk

  N/A

• Carriage

  Safe

  At Risk

  N/A

• Mast:

  Safe

  At Risk

  N/A

• Mast rollers & slides:

  Safe

  At Risk

  N/A

• Forks & Locking Pins

  Safe

  At Risk

  N/A

• Hydraulic cables:

  Safe

  At Risk

  N/A

• Fluids

  Safe

  At Risk

  N/A

• Seat & Seat Belt

  Safe

  At Risk

  N/A

• All round external condition:

  Safe

  At Risk

  N/A

• Counterweight:

  Safe

  At Risk

  N/A

Operational Safety Checks

• Unusual Noises/Sounds:

  Safe

  At Risk

  N/A

• Service & Parking Brake:

  Safe

  At Risk

  N/A

• Lifting Control:

  Safe

  At Risk

  N/A

• Tilt Control:

  Safe

  At Risk

  N/A

• Lights:

  Safe

  At Risk

  N/A

• Horn:

  Safe

  At Risk

  N/A

• Gauges:

  Safe

  At Risk

  N/A

• Oil Leaks on Floor:

  Safe

  At Risk

  N/A

Safe Operational Condition (YES/NO)

• Is the lift truck In a safe operational condition?

  Yes

  No

  N/A

Signatures

• Safety officer signature.

  Sign