HSE Requirements - Forklift / Grab

• The purpose of this checklist is to review Forklifts operating on Visy sites in line with Key Requirements of the Visy Minimum Standard for PME.

• Audit No: VHSE 23-V2

• Site:

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  Address

• Forklift No:

• Forklift Make:

• Series:

• Conducted on:

  Date

• Prepared by:

• Comments:

• Manager / Supervisor on shift at the time of the audit:

• INSTRUCTIONS
  1. If NO is selected in section 1- Forklift MUST be tagged out and not used until the non-compliance has been rectified.
  2. If NO is selected in section 2 - Non-compliance MUST be entered into the Vault system, corrective actions assigned with appropriate time frames.

• Unit Photo

  Media

CRITICAL SAFETY MEASURES

• All Forklift/Grab Operators hold a current & valid High Risk Licence

  Yes

  No

  N/A

• Has the Forklift been fitted with a reversing beeper, internal or external?

  Yes

  No

• Is the reversing beeper adequate for the operating environment?

  Compliant

  Non-Compliant

• Does the unit have compliance plates fitted?

  Yes

  No

• Is the seat belt interlocked to engine start or movement?

  Yes

  No

• Does the warning device (horn) work?

  Yes

  No

• Are mirrors fitted to the unit and damage free?

  Yes

  No

If NO has been selected for any of the above, Forklift MUST be tagged out and not used until the non-compliance is rectified.

FORKLIFT ATTACHMENTS

• Has the Forklift been modified in any way (for example when a new attachment is used)?

  Yes

  N/A

• Have compliance plates been fitted for all attachments?

  Fitted

  Not-Fitted

• Is the attachment secured to the forklift appropriately (for example chain/s or locking pins)

  Compliant

  Non-Compliant

• Is a work platform / lifting cage used on the Forklift?

  Yes

  N/A

• Is there a auxiliary hydraulic function lock fitted? (side shift and forward tilt lock).

  Fitted

  Not-Fitted

HSE MINIMUM REQUIREMENTS

• Has the Forklift been fitted with a Forklift Management System?

  Yes

  No

• Is there a system in place to record pre-start checks / faults / defects / damage to Forklift / grab

  Yes

  No

  N/A

• Is the Forklift fitted with an adjustable seat?

  Yes

  No

• Does the Forklift have overhead protection for falling objects?

  Yes

  No

• Has the Forklift been fitted with accessories for operating in a high risk environment (fire deluge system)?

  Yes

  No

  N/A

• What are the high risks associated with the Forklift / Grab operation?

• High visibility warning stickers fitted to the rear and sides of the Forklift that clearly warns pedestrians to keep 3- metres clear. Stickers in good order? Clearly visible? Reflective?

  Yes

  No

• Stop and reversing lights fitted and working?

  Yes

  No

• Yellow or Orange flashing light fitted and working?

  Yes

  No

• Are the lever controls and devices clearly marked?

  Yes

  No

• Front lights are fitted and working?

  Yes

  No

• Is the unit speed limited to 13 k/hr?

  Yes

  No

• How was this checked?

• Are foot pedal rubbers in good condition and not worn?

  Yes

  No

• Supplier / Manufacturers Risk Assessment available?

  Yes

  No

• Any other comments.

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