Infocus Visual Forklift Inspection

• Forklift I.D #

• Audit Title

• ConXtech

• Conducted on

  Date

• Prepared by

• Is the propane fuel level full?

  Yes

  No

  N/A

• Is relief valve on the propane tank in good condition(free from leaks)?

  Compliant

  Non-compliant

• Are safety straps used to secure the propane tank in good condition?

  Compliant

  Non-compliant

• Are tires inflated with the appropriate pressure?

  Compliant

  Non-compliant

• Are tires free from excessive wear?

  Compliant

  Non-compliant

• Is the overhead guard in good condition?

  Compliant

  Non-compliant

• Is the seat free from wear and tear?

  Yes

  No

  N/A

• Is the seat belt clean and good condition?

  Compliant

  Non-compliant

• Is the horn working properly?

  Compliant

  Non-compliant

• Are the gauges working properly?

  Compliant

  Non-compliant

• Are control levers labeled?

  Yes

  No

  N/A

• Are control levers secure, not loose or bending?Are

  Yes

  No

  N/A

• Are lights working properly(head, tail, and warning)?

  Compliant

  Non-compliant

Hydraulic System

• Add media

  Media

• Are cylinders lubricated and in good working condition?

  Compliant

  Non-compliant

• Do hoses or fittings sow any leaks or damage?

  Yes

  No

  N/A

Mast

• Add media

  Media

• Are hoses in good condition?

  Yes

  No

  N/A

• Are chains, and moving parts lubricated and in good condition?

  Compliant

  Non-compliant

• Is lubricant that is observed excessive or solidified?

  Yes

  No

  N/A

• Is rust observed?

  Yes

  No

  N/A

• Are the forks free from cracks or bending?

  Yes

  No

  N/A

• The locking pins are not bent, worn, bent, or missing?

  Yes

  No

  N/A

• Add signature

  Sign