Title Page
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Site conducted
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Forklift Truck Number:
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Location:
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Conducted by:
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Date:
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Status of Report (Systems Manager use only):
PRE OPERATIONAL FORKLIFT INSPECTION
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Machine HRS:
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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
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The lifting capacity is stated on the load data plate
- Yes
- No
- N/A
- I reported this issue in a previous inspection
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The forklift is free from major physical damage (make note of dents, scratches and minor damage not noted on the previous inspection)
- Yes
- Part
- No
- I reported this issue in a previous inspection
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The machine is free of fluid leaks (check for patches of fluid under the machine where it has been parked)
- Yes
- Part
- No
- I reported this issue in a previous inspection
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Overhead guard, load backrest extension, seat belt and other safety devices are attached properly?
- Yes
- Part
- No
- I reported this issue in a previous inspection
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The tyres have the correct inflation and are free from damage
- Yes
- Part
- No
- I reported this issue in a previous inspection
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The lift and tilt systems including pins, chains and anchor points are free from damage
- Yes
- Part
- No
- I reported this issue in a previous inspection
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The heels of the forks free of cracks?
- Yes
- Part
- No
- I reported this issue in a previous inspection
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The forks are properly attached and the locking clips are in the proper position
- Yes
- Part
- No
- I reported this issue in a previous inspection
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The fluid levels for the brakes, cooking water, engine oil, transmission oil and hydraulic system are sufficient
- Yes
- Part
- No
- I reported this issue in a previous inspection
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All hoses are undamaged and in good condition
- Yes
- Part
- No
- I reported this issue in a previous inspection
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Machine is fuelled and ready to operate
- Yes
- Part
- No
- I reported this issue in a previous inspection
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Ensure the machine is aequately fuelled prior to use
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The horn is operating
- Yes
- Part
- No
- I reported this issue in a previous inspection
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Are there any other issues worth noting
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Issue details:
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Signature: