Title Page
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Document No:
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Prepared by:
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Conducted on:
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Forklift:
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Supervisor Name:
Visual Checklist
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General condition of the Forklift.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check Overhead Guard.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Fire Extinguisher is present and charged.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check Fluid Levels: Oil, Fuel and Radiator.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check Wheels and Tires: Wear, Damage, Air Pressure.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check that the Forks, Backrest, Mast have No Damage and are in Good Working Condition.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check for Fluid Leaks, No Damp Spots or Drips on the Ground.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check the Hoses , ensure that they are secure, have no leaks and are not worn.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check for PPE equipment in the vehicle.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
Extra Notes
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Is there anything else that needs to be called attention to?
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Please Sign Below.
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Please outline the issue below.
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Please Sign Below.
