Forklift Inspection

• Forklift Inspection

• Name of Operator / Auditor

Inspection:

• Date/Time

  Date

• Truck #

• Hour Meter

Section 1.0

• 1.1 - Is the forklift safe to operate?<br>Note: Report any unsafe condition immediately and do not operate.

  Safe

  At Risk

  N/A

• 1.2 - Did you report the unsafe condition of the lift?

  Safe

  At Risk

  N/A

• 1.3 - Did you remove the key and place a lock-out / tag-out sign on the lift's steering wheel?

  Safe

  At Risk

  N/A

• 1.4 - Did you forward the key to a supervisor, manager, or maintenance personnel?

  Safe

  At Risk

  N/A

• 1.5 - Is there any visible damage that was not reported from the previous shift?

  Safe

  At Risk

  N/A

• Note: Take a picture and report any unsafe condition immediately. Do not operate the forklift.

  Media

• 1.6 - Performance Measurement (Max Score - 10)

Section 2.0 The Identity of the Forklift

• 2.1 - Is the Operator Manual available?<br>Note: Check under the seat or in storage bins.

  Safe

  At Risk

  N/A

• 2.2 - Can you read the Name Plate and is the model number the same as listed on the manual?

  Safe

  At Risk

  N/A

• 3.0 - Are the warning decals legible?

  Safe

  At Risk

  N/A

• 3.1 - Performance Measurement (Max Score - 10)

3.0 - General

• 3.1 - Forklift body is free of excessive greases and oil?

  Safe

  At Risk

  N/A

• 3.2 - Is the Overhead Guard secured to the body of the lift?

  Safe

  At Risk

  N/A

• 3.3 - Is the Mast Guard (behind the forks) cracked, have hole(s), bent, or damaged?

  Safe

  At Risk

  N/A

• 3.4 Does the Seat Belt work properly?

  Safe

  At Risk

  N/A

• 3.5 - Is the Overhead Guard cracked, have hole(s), bent or damaged?

  Safe

  At Risk

  N/A

• 3.6 - Turn the Key to the ON position but Do Not Start. Are dash board instruments working properly?

  Safe

  At Risk

  N/A

• 3.7 - Performance Measurement (Max Score - 10)

4.0 - Tires

• 4.1 - Are the tires in bad shape, have large holes, tearing, long deep cuts, or have rubber missing near the rim?

  Safe

  At Risk

  N/A

• 4.2 - Are wheel nuts on the rim, tightened, and not damaged?

  Safe

  At Risk

  N/A

• 4.3 - Does the lift have the correct tires as specified in the manual and surface condition?

  Safe

  At Risk

  N/A

• Note: Take pictures of any tire or wheel hazards

  Media

• - Performance Measurement (Max Score - 10)

5.0 - Under the Hood

• 5.1 - Does the hood latch work or fasten properly?

  Safe

  At Risk

  N/A

• 5.2 Do you see any visible leaks on the side or draining from beneath the lift?

  Safe

  At Risk

  N/A

• 5.3 Did you check the engine oil dipstick for the proper level?

  Safe

  At Risk

  N/A

• 5.4 Did you check the Hydraulic Fluid reservoir (tank) for the proper amount?

  Safe

  At Risk

  N/A

• 5.5 - Did you check the Transmission Fluid dipstick for the proper amount?

  Safe

  At Risk

  N/A

• 5.6 - Did you check the Hydraulic Fluid reservoir (tank) for the proper amount?

  Safe

  At Risk

  N/A

• Note: Take pictures of any Under Hood hazards

  Media

• 5.7 - Performance Measurement (Max Score - 10)

Section 6.0 - Hoisting Attachments (The Forks and Mast)

• 6.1 - Are forks cracked, bent, worn, or curled at the end?

  Safe

  At Risk

  N/A

• 6.2 - Does the Mast or Hoisting Frame have cracks, broken welds, bent, missing hardware (stops), missing bolts.

  Safe

  At Risk

  N/A

• 6.3 - Are the lift chains greased, secured, and free of kinks?

  Safe

  At Risk

  N/A

• Note: Take pictures of any hoisting attachment (Forks or Mast) hazards

  Media

• 6.4 - Performance Measurement (Max Score - 10)

Section 7.0 - Hoses

• 7.1 - Are the hydraulic lines leaking?

  Safe

  At Risk

  N/A

• 7.2 Are hydraulic joints leaking?

  Safe

  At Risk

  N/A

• 7.3 - Are the hydraulic lines worn and show metal wires?

  Safe

  At Risk

  N/A

• Note: Take pictures of any hose hazards

  Media

• 7.4 - Performance Measurement (Max Score - 10)

General Safety Devices.

• All lights and turn signals are aimed correctly, and are working properly.

  Safe

  At Risk

  N/A

• Horn works.

  Safe

  At Risk

  N/A

• Gauges are working and reading within proper margins.

  Safe

  At Risk

  N/A

• Backup alarm is sounding when in reverse.

  Yes

  No

  N/A

Drive Controls

• Accelerator is working properly and functioning smoothly

  Safe

  At Risk

  N/A

• Drive control (forward and reverse) functioning smoothly.

  Safe

  At Risk

  N/A

• Steering is smooth, responsible, and free of excess play.

  Safe

  At Risk

  N/A

• Service brake is functioning properly and smoothly and does not easily drop to the floor, or grab. There are no fluid leaks.

  Safe

  At Risk

  N/A

• Parking brake is working properly.

  Safe

  At Risk

  N/A

• Engine is running smooth without leak or sparks from the exhaust.

  Safe

  At Risk

  N/A

Lift Controls

• Lift and lower controls operate smoothly and without squeaking or excessive drift.

  Safe

  At Risk

  N/A

• Tilt control operates properly without excessive drift, chatter, or squeaking.

  Yes

  No

  N/A

Licensed Operator/Inspector

• Inspection by:

  Sign