Forklift Inspection

• Inspector's Name / Nombre de Inspector

• Conducted on

  Date

• Department/ Departamento

  Select

• Shift/ Turno

  Select

Inspectors Signature / Firma del Inspector

• Add signature

  Sign

Authorized Designee Signature / Firma del Designado Autorizado

• Add signature

  Sign

• Tire ( Front/ Rear/ Llantas ( Enfrente y Atras

  Good

  Fair

  Poor

  N/A

• Wheels ( Front & Rear/ Rines ( Enfrente y Atras

  Good

  Fair

  Poor

  N/A

• What is the current condition of the Forks/ La condiciones de las horquillas

  Good

  Fair

  Poor

  N/A

• What is the current condition of the backrest/ La condicion actual del respaldo?

  Good

  Fair

  Poor

  N/A

• Attachements / Accessorios

  Good

  Fair

  Poor

  N/A

• Mast/ Mastil

  Good

  Fair

  Poor

  N/A

• Hydraulic Hoses / Mangueras Hidraulicas

  Good

  Fair

  Poor

  N/A

• Chains/ Cadenas

  Good

  Fair

  Poor

  N/A

• Body Damage / Danos de Carroceria

  Good

  Fair

  Poor

  N/A

• Rollover Protection/ Proteccion contra Volcaduras

  Good

  Fair

  Poor

  N/A

• Leaks / Fugas

  Yes

  No

  N/A

• Seat & Seat Belt/ Asiento y Cinturon

  Yes

  No

  N/A

• All Guages / Todos los Indicadores

  Good

  Fair

  Poor

  N/A

• Capacity Plate / Placa de Informacion

  Good

  Fair

  Poor

  N/A

• Battery Connection / Conexion de bateria

  Safe

  At Risk

  N/A

• Horn / Claxon

  Good

  Fair

  Poor

  N/A

• Light / Luces

  Good

  Fair

  Poor

  N/A

• Mirrors / Espejos

  Safe

  At Risk

  N/A

Operational Inspection / Inspeccion Operacional

• Steering / Sistema de Direccion

  Good

  Fair

  Poor

  N/A

• Brakes/ Frenos

  Good

  Fair

  Poor

  N/A

• Deadman Foot Brake Pedal/ Pedal Hombre Muerto

  Yes

  No

  N/A

• Hydraulic Controls / Controles Hidraulicos

  Yes

  No

  N/A

• Strobe Light / Luz de Intermitente

  Yes

  No

  N/A

• Back Up Alarm / Alarma de Reversa

  Yes

  No

  N/A

• Parking Brake / Freno de Estacionamiento

  Good

  Fair

  Poor

  N/A

Comments/ Comentarios

• undefined

Please Read

• Any damage and / or unsafe condition that exists must be described in the comments section and submitted to the authorized designee immediately. Cualquier dano y / o condicion insegura que exista debe describirse en la seccion de comentarios y enviarse a la persona designada autorizada de inmediato.

• Authorized Designee: Please submit completed inspection to the service department by the end of the shift. If service is needed please submit to service department immediately. Designado autorizado : Envie la inspeccion completa al departamento de servicio antes del final del turno. Si servicio es necesario, envielo al departamento de servicio de inmediato.

• Date and time of approval

  Date

• Approver's signature

  Sign