Forklift Inspection - FL1

• Date and Time of Inspection

  Date

• Operator

• Shift

  Select

• Take a picture of the Forklift

  Media

• Is this inspection for the forklift FL1?

  Yes

  No

  N/A

Daily Forklift Inspection

• Brakes

  Compliant

  Non-Compliant

  N/A

• Back up Alarm

  Compliant

  Non-Compliant

  N/A

• Warning Lights

  Compliant

  Non-Compliant

  N/A

• Headlights

  Compliant

  Non-Compliant

  N/A

• Visual Check - Any visual damage?

  Compliant

  Non-Compliant

  N/A

• Horn

  Compliant

  Non-Compliant

  N/A

• Cleanliness

  Compliant

  Non-Compliant

  N/A

• Fire Extinguisher

  Compliant

  Non-Compliant

  N/A

• Forks and Boom

  Compliant

  Non-Compliant

  N/A

• Roll Over Protection

  Compliant

  Non-Compliant

  N/A

• Tires - Any damage to tines or load backrest?

  Compliant

  Non-Compliant

  N/A

• Batteries

  Compliant

  Non-Compliant

  N/A

• Oil - Any fluid leaks?

  Compliant

  Non-Compliant

  N/A

• Fuel / Gas

  Compliant

  Non-Compliant

  N/A

• Hyd. Oil - Any fluid leaks?

  Compliant

  Non-Compliant

  N/A

• Water Reservoir

  Compliant

  Non-Compliant

  N/A

Completion

• Comments

• Please sign to indicate that you have completed the pre-start check and that you will tag the equipment out and report it if not safe to operate

  Sign