Information

  • ABC Office Furniture

  • Conducted on

  • Prepared by

Overhead guard

  • Are there broken welds?

  • Are there missing bolts?

  • Are there damaged areas?

Hydraulic cylinders

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

Mast assembly

  • Are there broken welds, cracked or bent areas, or worn or missing stops?

Lift chains and rollers

  • Is there damage or kinks, signs of rust, or any signs that lubrication is required?

  • Is there squeaking?

Forks

  • Are they cracked or bent, worn, or mismatched?

  • Is there excessive oil or water on the forks?

Tires

  • Are they damaged?

  • Are there missing lugs?

  • Is the air pressure at a normal level?

Battery

  • Are the cell caps and terminal covers in place?

  • Are the cables missing insulation?

Fluids

  • Is hydraulic fluid at proper level?

  • Is engine oil at proper level?

  • Is engine coolant at proper level?

  • Is transmission fluid at proper level?

  • Is fuel tank full?

Guages

  • Are they working properly?

Steering

  • Is there excessive free play?

Brakes

  • Do breaks feel normal?

  • Does parking brake work?

Lights

  • Do all lights work?

Horn

  • Does it work

Load handling attachments

  • Is there hesitation when hosting or lowering the forks, when using the tilt, or the lateral travel on the side shift?

  • Is there excessive oil on the cylinders?

Seat belts

  • Do they work?

Control lever

  • Does it operate properly?

Engine

  • Are belts in good shape?

  • Is there any strange noises?

Nameplates and markings

  • Are they legible. 29CFR 1910.178 (a)(7)

  • Other problems?

Sign Off

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.