Title Page

  • Location (jobsite)

  • Conducted on

  • Prepared by

  • Location
  • Equipment Number if available

  • Time of inspection

  • Overall appearance of equipment

Items ?

  • Forks

  • Boom

  • Hoist

  • Mast

  • Hand Rail / Steps

  • Fire Extinguisher

  • Hydraulic System

  • Hoses

  • Controls

  • Suspension / Frame

  • Roll Over Protection System (Cage)

  • Isolation Mechanism

  • Wheel Chocks / Present

  • Steering Operation

  • Neutral Start Switch

  • Exhaust system

  • Park Brake

  • Service Brake

  • Instrument Gauges

  • Operator training Card? On jobsite?

Cab

  • Headlights

  • Wipers

  • Seat Seatbelt / Teathers

  • Horn

  • Glass

  • Radio

  • Tail Lights

  • Back Up Alarm

Fluid Levels

  • Engine Oil

  • Coolant

  • Window Washer

  • Hydraulic Oil / hoses

  • Hydraulic Fluid level

  • Propane

  • Fuel tank /Hoses

Comments

  • Anything Else Needing Reporting?

  • Signature of Employee

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.