Forklifts: Daily Pre-Use Inspection v0

• Forklift No.

• Department:

  Select

• Week Ending Date

  Date

• Team Leader Name

• Hour Meter Reading

Visual Check

• General condition of forklift

  Good

  Fair

  Poor

  N/A

• Housekeeping of the area - is the floor clear of obstacles?

  Good

  Fair

  Poor

  N/A

• Check overhead guard / Possible overhead obstructions

  Safe

  At Risk

  N/A

• Fire extinguisher is present and charged

  Yes

  No

  N/A

• Fluid levels: oil, fuel, and radiator

  Sufficient

  Requires Attention

• Battery: charge, check cables, connections not loose

  Yes

  No

  N/A

• Wheels and tires: wear, damage and air pressure

  Good

  Fair

  Poor

  N/A

• Forks / Backrest / Mast / Chains / Rollers: no damage, good working condition

  Yes

  No

  N/A

• Chain anchor pins

  Good

  Fair

  Poor

  N/A

• Fluid leaks, no damp spots or drips on ground

  Yes

  No

  N/A

• Hoses: secure, leaks, worn

  Yes

  No

  N/A

• Air filter intake: cleanliness

  Good

  Fair

  Poor

  N/A

• Signage and stickers legible / Capacity plate

  Yes

  No

  N/A

• Propane tank (if applicable) - secured, connections tight, hose in good condition

  Yes

  No

  N/A

Operational Check

• Engine: not rough, no noise or leaks

  Yes

  No

  N/A

• Gauges / Horn: loud and working

  Yes

  No

  N/A

• Lights: head lights and warning lights

  Yes

  No

  N/A

• Seatbelt: good working order, damage

  Yes

  No

  N/A

• Steering: loose, tight

  Yes

  No

  N/A

• Tilt /Sideshift: loose, sticks, leaks

  Yes

  No

  N/A

• Brakes: foot, parking

  Yes

  No

  N/A

Action

• Action Required: By Whom: Target Date:

• Action Required: By Whom: Target Date:

• Action Required: By Whom: Target Date:

Signatures

• Details on areas for attention

• Managers Remarks

• Manager Signature

  Sign

• Supervisor Signature

  Sign