Information

  • Project name

  • Project number

  • Conducted on

  • Prepared by

General Information

  • Project Name

  • HCC Project #

  • Date inspected

  • HCC Equipment #

Inspection Criteria

  • Forks free of damage

  • Forks legal for this machine

  • Engine oil correct

  • Hydraulic fluid ok

  • Hydraulic leaks

  • Condition of hydraulic hoses

  • Fuel, engine coolant, brake fluid level

  • Tire pressure

  • Tire condition

  • Tire condition

  • Tire ballast

  • Lugs tight

  • Seat belt in working order

  • Backup alarm working

  • Horn working

  • Lights and signals working

  • Load chart visible to operator

  • Fire extinguisher charged

  • Mirrors free from damage

  • Roll over protective structure

  • Frame level indicator working

  • Boom angle indicator working

  • Operator manual on machine

  • Any evidence of structural damage

  • Floorboard free of debris

  • All gauges working properly

  • Brakes working properly

  • Parking brake working

  • Steering (all modes) working properly

  • Transmission

Hydraulic controls function test and cycle

  • Boom/mast - up & down

  • Boom - extend & reach

  • Fork tilt - up & down

  • Fork tilt/ carriage tilt - left & right

  • Frame level - left & right

  • Traverse - forward & back

  • Out riggers - up& down

  • Fork slide - left & right

  • Comments

Signatures

  • Inspectors signature

  • Superintendents 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.