Forklift Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• 301 Iup Dr. Leechburg Pa. 15656
  Address

Certification(29 CFR 1910.178(l)(5)

• The operator has a certification that states the ".. Name of operator, the date of training, the date of evaluation, and the identity of the person(s) performing the training or evaluation."

  Yes

  No

  N/A

29 CFR 1910.178(a)(2)

• This section states that "fire protection, design, maintenance, and use of fork trucks, tractors, platform lift trucks, motorized hand trucks and other specialized industrial trucks powered by electric motors or internal combustion engines.

  Yes

  No

  N/A

29 CFR 1910(a)(3)

• Truck is marked by a label or another mark that shows it has been approved by the testing laboratory.

  Yes

  No

  N/A

29 CFR 1910.(a)(4)

• Modifications are not added without the approval of the manufacturer.

  Yes

  No

  N/A

29 CFR 1910.(a)(5)

• If truck has any front end attachments not from factory, then they are identified and show the exact weight of the truck and attachment at the maximum elevation with the load totally centered.

  Yes

  No

  N/A

29 CFR 1910.(a)(6)

• Nameplates and markings are seen in a legible condition.

  Yes

  No

  N/A

29 CFR 1910.(a)(7)

• The truck is "approved" for fire safety by a "nationally recognized testing laboratory".

  Yes

  No

  N/A

Tires on forklift

• Lug nuts securely holding tires on?

  Yes

  No

  N/A

• Tire pressure between recommendation?

  Yes

  No

  N/A

• Tred on tires are sufficient for use?

  Yes

  No

  N/A

Hydraulics on forklift

• There are no leaks coming from hydraulic cylinders

  Yes

  No

  N/A

• Hoses are damage free

  Yes

  No

  N/A

• Fittings are damage free

  Yes

  No

  N/A

Forks on forklift

• Forks are not bent or cracked

  Yes

  No

  N/A

• Fork pins are not damaged

  Yes

  No

  N/A

Mast on forklift

• Rust free

  Yes

  No

  N/A

• Moving pieces(chains, hoses) are not broken or worn out

  Yes

  No

  N/A

• Chains are properly lubricated

  Yes

  No

  N/A

Carriage on forklift

• Carriage not broken in any way(cracked, worn, bent)

  Yes

  No

  N/A

• Back rest extension is secure

  Yes

  No

  N/A

Battery on forklift(If applies)

• Connections are sufficient

  Yes

  No

  N/A

• Terminals are covered

  Yes

  No

  N/A

Engine(If applies)

• Oil is ok and there are no leaks

  Yes

  No

  N/A

Seat belt on forklift

• Seat belt is not torn, works properly

  Yes

  No

  N/A

Fire extinguisher on forklift

• Up to date for inspection

  Yes

  No

  N/A

Horn on forklift

• Horn is adequately working

  Yes

  No

  N/A