Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Operator Safety Information
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Has the operator been trained or refreshed within the last three years?
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Is there a copy of the operators certificate in their training file?
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Has the operator signed an authorisation to operate form, renewable annually?
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Is the operator aware of the correct fault reporting procedures?
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Has the operator certification and authorisation to operate records been checked?
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Date of training or refresher course?
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Date of company written authorisation?
Truck Information
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Truck Type?
- Counterbalance
- Reach
- Pedestrian Pallet
- Pedestrian Mast: Pedestrian Reach
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Make?
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Model?
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Serial Number?
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Capacity?
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Motive power?
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Attachments?
- Forks
- Bale Clamp
- Spike
- Work Platform
- Barrel Clamp Attachment
- Tip Skip
Visual checks
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Carriage pate Is the safety data information plate attached and legible?
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Load handling device (forks, clamp, etc)?
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Backrest extension?
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Mast?
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Mast rollers & slides?
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Lift chains?
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Chain pulleys?
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Hydraulic rams?
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Hydraulic cables?
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Wheels?
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Tyres?
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All round external condition?
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Counterweight?
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Has the key been removed when the lift truck is unattended?
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Operators position?
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Operators seat & seat restraint?
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LPG cylinder (LPG powered truck)?
Operational Safety Checks
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Starting procedure (engine truck)?
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Starting procedure (electric truck)?
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Starting procedure (LPG truck)?
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Lights?
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Audible warning system?
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All hydraulic systems?
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Driving operation (no play in the steering)?
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Foot brake function?
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Park brake function?
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Is the lift truck In a safe operational condition?
Signatures
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Operators signature.
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Safety officer signature.