Forklift Inspection

• Forklift

  Hyster 3T

  Hyster 5T

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• Yes

  No

  N/A

• Conducted on

  Date

• Prepared by

• Location
  Address

• Day of Inspection

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

Before Start-Up

• Hour meter reading

  Pass

  Fail

  N/A

• Kilometer reading

  Pass

  Fail

  N/A

• Total daily operating hours

• Fuel usage

  Pass

  Fail

  N/A

• Record number of litres added

• Operator’s manual read & understand

  Pass

  Fail

  N/A

• Fluid levels – oils / water / air

  Pass

  Fail

  N/A

• Record number of litres added

• Damage to machine/guards/body

  Pass

  Fail

  N/A

• Tyres/tracks /pressures okay

  Pass

  Fail

  N/A

• Warning/safety signs visible

  Pass

  Fail

  N/A

• Wear surfaces – within serviceable limits

  Pass

  Fail

  N/A

• Safety pins located

  Pass

  Fail

  N/A

• Area safe to operate plant (walk around)

  Pass

  Fail

  N/A

• Area above clear for lifting and swinging (especially crane)

  Pass

  Fail

  N/A

• Steps/handrails/handholds

  Pass

  Fail

  N/A

• Cabin/machinery deck clear

  Pass

  Fail

  N/A

• Fire extinguisher full and in test period

  Pass

  Fail

  N/A

• Windows/mirrors clean, wipers operational

  Pass

  Fail

  N/A

• Is Plant safe to operate?

  Yes

  No

• Please advise Supervisor IMMEDIATELY

• Please proceed to the next section.

After Start-Up

• Gauges/lamps/warning systems

  Pass

  Fail

  N/A

• Lights – front/rear/stop/indicators/beacons

  Pass

  Fail

  N/A

• Horns/reversing alarm

  Pass

  Fail

  N/A

• Throttle operation

  Pass

  Fail

  N/A

• Operate controls – functioning properly

  Pass

  Fail

  N/A

• Brakes – park/foot/retarder/emergency

  Pass

  Fail

  N/A

• Steering/suspension

  Pass

  Fail

  N/A

• Certified operator's signature

  Sign