Title Page
-
Company
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Forklift Make
-
Forklift capacity
-
Forklift registration no.
-
Hour meter
-
Driver PPEs condition
-
Diver license valid?
-
Operator attended forklift training
-
Road license / motor vehicle license valid
-
Insurance valid
-
Revenue sticker valid
-
Go to safety week (wiki ya nenda kwa usalama)
-
Warning stickers - Kaa mbali zaidi ya 7M
-
Pre-start checklist signed by the supervisor?
-
Forklift certificate of conformity
-
Forklift operator certificate of competence or authorisation.
2. Physical Appearance
-
General Cleanliness
-
Tyre appearance (puncture, damage, wear)
-
Pollution by handled products/ goods
-
Bodywork ( lights, wings, bonnet)
3. Mechanical Safety Inspection
-
Forks, panel and mast in good condition ( not deformed)
-
Road brake working
-
Handbrake working
-
Lifting / translation/ tilt functions in good condition
-
Hydraulic leaks noted
-
Suspended seat in condition, good attachment.
-
CMU present
4. Electrical Safety Inspection
-
Working lighting / instruments ( for night works).
-
Horn works
-
Flashing light works
-
Reverse beep/ hooter
-
Extinguisher (6Kg dry chemical powder)
-
Windscreen wiper
5. Other Controls
-
Level high enough in diesel tank
-
Operator has safety shoes
-
Safety panel in good condition on the equipment
-
Operator has goggles (when there is no windscreen
-
The safety belt is in good condition
-
Comments
-
More picture
-
Date and Time
-
Operator's signature
-
QHSE Representative
-
QHSE Auditor's Signature