FORKLIFT PRESTART CHECK - DRAFT

• Inspection document #

• Site conducted

  Select

• Conducted on

  Date

• Prepared by (Name and position):

• Location:
  Address

• Forklift:

  Select Enforcer Fork Lift 15232 NISSAN YG1F2A3OU FORKLIFT 3T FORKFORCE ALL TERRAIN FORKLIFT SER: 1703504899 TOYOTA 7FGCU25 2.5T FORKLIFT SER: 1648

  • Enforcer Fork Lift 15232
  • NISSAN YG1F2A3OU FORKLIFT 3T
  • FORKFORCE ALL TERRAIN FORKLIFT SER: 1703504899
  • TOYOTA 7FGCU25 2.5T FORKLIFT SER: 1648

• Machine last serviced date and hours:

• Machine current hours:

• Machine next service (due) date and hours:

• Is the machine overdue for a service?

  Yes

  No

• Plant pre-start may continue to be completed, but DO NOT USE THE MACHINE

  Acknowledged

• NOTE:
  The accelerator, brakes, steering operation, drive control, tilt control, hoist and lowering control should always be operating smoothly. Once the machine is in operation and if a malfunction is identified, report immediately to your supervisor.
  
  In the event of a fault being revealed at any time or if the forklift truck becomes unsafe in any way:
  1. Report the matter immediately to your supervisor; and
  2. If the fault or condition is immediately dangerous, isolate and tag out and do not use the forklift truck until it is rectified.
  DO NOT TRY TO REPAIR THE FORKLIFT TRUCK YOURSELF

PRE OPERATIONAL CHECK

• The lifting capacity is stated on the load data plate

  Select Yes No N/A I reported this issue in a previous inspection

  • Yes
  • No
  • N/A
  • I reported this issue in a previous inspection

• The forklift is free from major physical damage (make note of dents, scratches and minor damage not noted on the previous inspection)

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• The machine is free of fluid leaks (check for patches of fluid under the machine where it has been parked)

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• Overhead guard, load backrest extension, seat belt and other safety devices are attached properly?

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• The tyres have the correct inflation and are free from damage

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• The lift and tilt systems including pins, chains and anchor points are free from damage

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• The heels of the forks free of cracks?

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• The forks are properly attached and the locking clips are in the proper position

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• The fluid levels for the brakes, cooking water, engine oil, transmission oil and hydraulic system are sufficient

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• All inspected hoses are undamaged and in good condition

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• Machine is fuelled/charged and ready to operate

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• Ensure the machine is aequately fuelled prior to use

• The horn is operating

  Select Yes Part No I reported this issue in a previous inspection

  • Yes
  • Part
  • No
  • I reported this issue in a previous inspection

• Are there any other issues worth noting

  Yes

  No

• Issue details:

• Has your inspection identified a risk that must be addressed before the machine can be used.

  Yes

  No

• Provide a detailed justification for proceeding with using the machine below and contact management immediately to have the issue rectified.

• Signature:

  Sign