HSA Forklift Operator Daily Checklist

• Forklift Identification Number

• Conducted on

  Date

• Completed by

Check Items

• 1 General: Good condition with no damage, excessive dirt or rust. Any defects previously noted repaired.

  Yes

  No

• 2 Forks: Correctly positioned, not damaged, cracked, bent or worn. Anchor pins secure and not worn, loose or bent.

  Yes

  No

• 3 Carriage Plate: No damage or distortion, sitting square to the mast and lubricated. End stop bolts engaged and secure.

  Yes

  No

• 4 Mast: No damage, distortion or cracks. No undue wear, scoring, dirt or foreign bodies in channels. End stops secure. Rollers, no uneven wear or incorrect tracking. Slides intact and secure.

  Yes

  No

• 5 Back Rest Extension / Load Guard: In good condition, secure with no distortion or cracks.

  Yes

  No

• 6 Lift Chains: Not damaged worn or stretched, no broken links or rust. All pins in place.

  Yes

  No

• 7 Tyres: No damage, excessive dirt or wear, rust, cracks, splits or separation of tyres and rims. Pneumatic tyres correct air pressure.

  Yes

  No

• 8 Wheels: Undamaged and free from obstruction and debris. All nuts secure and in place.

  Yes

  No

• 9 Overhead Guard / Roll Over Protection Frame: Secure, undamaged with no loose items.

  Yes

  No

• 10 Energy Source:

• ï Gas or Diesel: Engine oil, fuel and radiator water level correct. Gas bottle secured, no rust, corrosion or damaged pipes, hoses or seals.

  Yes

  No

  N/A

• ï Electric: Electrolyte level, battery plug and connections correct. Power cable intact, connected and secure. No exposed wires, battery brackets secure and battery adequately charged.

  Yes

  No

  N/A

• 11 Hydraulics: No damage or fluid leaks, no splits in hoses, no leaks around fittings.

  Yes

  No

• 12 Identification / Rating Plate: Intact, clean and legible.

  Yes

  No

• 13 Operator’s Compartment: Clean with no loose items.

  Yes

  No

• 14 Access: Steps and grab handles in good condition and clean.

  Yes

  No

• 15 Lights, Windscreen and Mirrors (if fitted): Clean and undamaged.

  Yes

  No

• 16 Fire Extinguisher (if fitted): Secure and charged.

  Yes

  No

Operational Checks

• 17 Seat: Good condition, secure and adjusted correctly.

  Yes

  No

• 18 Safety Belt: Accessible, in good condition and working correctly.

  Yes

  No

• 19 Ignition & Electrical System: Working correctly. All gauges and instruments visible and working.

  Yes

  No

• 20 Reversing Alarm and Horn: Working correctly and audible.

  Yes

  No

• 21 Warning Lights & Lights (if fitted): Working correctly.

  Yes

  No

• 22 Hydraulic Controls: Working smoothly and correctly.

  Yes

  No

• 23 Brakes (Foot & Parking): Working correctly.

  Yes

  No

• 24 Clutch & Gearshift: Working smoothly and correctly.

  Yes

  No

• 25 Steering: Working correctly with no excessive play.

  Yes

  No

• 26 Exhaust: No excessive smoke, sparks or flames.

  Yes

  No

• Is the forklift safe to use?

  Safe

  At Risk

  N/A

• Full Name and Signature of Inspector

  Sign

• Full Name and Signature of Manager

  Sign