Information
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Conducted on
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Prepared by
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Location
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Instructions:
1. Fill out the fields below.
2. Answer "Compliant", "Non-Compliant", "N/A" for the questions provided.
3. Add photos and notes by clicking on the paperclip icon.
4. To add a Corrective Measure, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
5. Complete audit by providing digital signature.
6. Share your report by exporting as PDF, Word, Excel or Web Link.
Forklift information
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Serial no:
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Make/model:
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Hour reading:
Pre-safety checklist (all questions must have been answered 'yes' to proceed with vehicle inspection)
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Do you have access to the following PPE/safety equipment to complete vehicle inspection: flash light, safety glasses, safety gloves, steel cap boots/shoes, rags?
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Are all flammable materials clear from vehicle? (i.e. no aerosols, lighters, etc.)
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Has all loose clothing been tucked in, and long hair been tied up?
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Do you feel safe and equipped to complete this safety inspection?
Other
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If you answered 'no' to any of the above, do not complete inspection, and provide further information here.
Engine Compartment (to be completed while machine is cold)
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Engine oil level
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Transmission oil level
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Hydraulic oil level
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Coolant level
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Battery terminals
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All panels are secured correctly
Other
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Any additional comments regarding engine compartment?
Mast and Tynes
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Free from oil leaks
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Chains lift evenly
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Tynes are straight
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Tips of tynes are undamaged
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Mast extends to limit
Other
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Any additional comments regarding mast and tynes?
Lights and Warning Devices
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Headlights
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Mirrors
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Strobe light working
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Horn working
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Reverse alarm working
Other
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Any additional comments regarding lights and warning devices?
Wheels and Tyres
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Rims free from damage
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Tyres free from excess wear and damage
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Wheel nuts present and tight
Other
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Any additional comments regarding wheels and tyres?
Exterior and Operation of Forklift
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General condition of forklift's exterior
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Seat adjusts freely
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Seat belt secure and not frayed
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Engine starts and runs smoothly
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Steering operates freely without unusual noise or free-play
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Brakes operate smoothly
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Hand brake holds
Other
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Any additional comments regarding operation of vehicle?
Post vehicle inspection questions
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Did you understand all terminology within this checklist?
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Did you feel safe completing the vehicle check?
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Do you require any further PPE/equipment to complete checks in the future?
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Inspector