Forklift Qualification Checklist

• Conducted on

  Date

• Evaluated By

• Trainee/Applicant Name

• Location
  Address

Identification

• Under 30,000 lb Capacity

• Above 30,000 lb Capacity

Explain the major components of the forklift?

• Mast

  Yes

  No

  N/A

• Overhead guarding

  Yes

  No

  N/A

• Lift Mechanisms

  Yes

  No

  N/A

• Counterweight

  Yes

  No

  N/A

• ID plate

  Yes

  No

  N/A

• Lights (reverse, strobe, and running lights)

  Yes

  No

  N/A

Explain the function and gauges of the instrument panel

• Fuel Level

  Yes

  No

  N/A

• Air pressure

  Yes

  No

  N/A

• Battery voltage

  Yes

  No

  N/A

• Oil pressure

  Yes

  No

  N/A

• Water temperature

  Yes

  No

  N/A

Explain the steps before allowing a pedestrian to approach

• Lower load completely

  Yes

  No

  N/A

• Set parking brake

  Yes

  No

  N/A

• Turn wheels

  Yes

  No

  N/A

• 15 foot separation of man/equipment

  Yes

  No

  N/A

Explain the differences in operation between different terrains

• Wet/oily

  Yes

  No

  N/A

• Wet/rough

  Yes

  No

  N/A

• Rocky/bumpy

  Yes

  No

  N/A

Explain the differences from vehicles to forklift operation

• Speed and braking

  Yes

  No

  N/A

• Visibility

  Yes

  No

  N/A

• Steering

  Yes

  No

  N/A

• Load Stability

  Yes

  No

  N/A

• Fork clearance

  Yes

  No

  N/A

• Operational lights

  Yes

  No

  N/A

Explain how to do a mobile equipment Pre-Trip inspection

• Go over pre-trip

  Yes

  No

  N/A

• Reasons to deem the equipment out of service

  Yes

  No

  N/A

• Steps to take equipment out of service

  Yes

  No

  N/A

Explain incline traveling

• Where load should be when traveling up hill and where the load should be traveling downhill

  Yes

  No

  N/A

Explain traveling to other specific areas from where you are currently

• From WDA to Boneyard or Carry-trade

  Yes

  No

  N/A

• By signing below you agree that you understand the descriptions of all sections explained to you today and how each will be used in the future regarding my operation of the forklifts.

• Trainee/Applicant Signature

  Sign

• Evaluator's Signature

  Sign