Forklift Inspection Did the horn with

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Tap to enter information
  Address

• Tap to enter information

  Date

• Daily inspection? (1910.178(q)(7))

  Yes

  No

  N/A

• Approved Truck Label (1910.178(a)(2))

  Media

Tires

• Are there large cuts around the circumference of the tire?

  Yes

  No

  N/A

• Are there pieces of rubber missing or separated from the rim?

  Yes

  No

  N/A

• Are there missing lugs?

  Yes

  No

  N/A

• It's there binds separation that can cause slippage?

  Yes

  No

  N/A

Horn

• Does the horn work?

  Yes

  No

  N/A

Lights

• If lights are equipped, do they work?

  Yes

  No

  N/A

Hydraulic Cylinders

• Is there leakage or damage on the lift, tilt, or the attachment functions of the cylinders?

  Yes

  No

  N/A

Guards

• Is the overhead guard attached?

  Yes

  No

  N/A

• Are the finger guards attached?

  Yes

  No

  N/A

Other

• Is the seat belt functioning?

  Yes

  No

  N/A

• Are the hydraulic and transmission fluid good?

  Yes

  No

  N/A

Engine on checks (Yes if functioning smoothly)

• Accelerator?

  Yes

  No

  N/A

• Service and parking brakes?

  Yes

  No

  N/A

• Steering Operation?

  Yes

  No

  N/A

• Drive and tilt control?

  Yes

  No

  N/A

• Hoist and lowering control?

  Yes

  No

  N/A

• Gauges (Ammeter, oil pressure, hour meter, fuel level, temperature, instrument monitors)

  Yes

  No

  N/A