Information

  • Project name:

  • Project no:

  • Accompanied by:

  • Conducted On:

  • Conducted for:

  • JRCS person undertaking the audit:

  • Audit no:

PREVIOUS INSPECTION

  • Report closed out?

TYPE OF INSPECTION

  • Select

TYPE OF FORKLIFT

  • TYPE OF FORKLIFT

OFFICES & WELFARE

  • Mess facilities, drinking water

  • Washing & toilets

  • Drying & clothing storage areas

  • First Aid arrangements

  • H&S information board

MONITORING & CONTROL

  • Records of forklift certification

  • Records of lifting accessory certification

  • Records of personnel certification

  • Records of forklift inspections (daily/weekly, out of service, planned maintenance)

  • Records of accessories inspections (daily/weekly)

  • Records of briefings/toolbox talks

  • Records of accidents, incidents and near misses

  • RAMS (sign off & filing,) for the entire lift team

  • Site specific permit procedures (sign off & filing)

SITE WIDE

  • Site security

  • General access and egress

  • Pedestrian routes & traffic management

  • Forklift access (security and ground conditions)

  • Lifting exclusion zones

  • Lighting levels

  • Site signage (H&S & Forklift)

  • Presence of ground excavations or tunnels

  • Presence of overhead power cables

  • Presence of other plant/operations/cranes

OCCUPATIONAL HEALTH ISSUES

  • Tidiness/housekeeping/trip hazards

  • Manual handling

  • Fire safety & emergency evacuation provisions

  • Edge protection & work at height

  • Noise and/or vibration

  • Electrical safety

  • Use and storage of flammable liquids or gas

  • Control of substances hazardous to health (COSHH), spill kits

LIFT SPECIFIC QUESTIONS

  • Is the forklift of the correct type/configuration specified?

  • Are the correct ground spread mats being used as stated in the lift plan?

  • Are the items being lifted as described/marked and within weights and lift radius specified?

  • Are the correct lift accessories being used, as certified, and in the correct application?

  • Are the correct number of lift team in attendance as specified?

  • Are the lift team distinguishable from other site workers?

  • Is the correct personal protective equipment (PPE) being worn?

  • Is there good communication between the lift team (hand signals/radios)?

  • Are the operations being carried out within the stated environmental conditions?

  • Are transport wagons being accessed correctly?

  • Are tag lines being used?

  • Are fork accessories (pallets/bins) of good condition and being lifted correctly?

  • Are lifting accessories stored correctly and storage area available?

  • Additional comments on this section are:

NOTES ON RAMS AND DRAWINGS

  • Has the worst case lift been identified? weight/radius and % capacity of forklift?

  • Has the maximum lift height been identified?

  • Has ground bearing pressure been established?

  • Has the ground bearing pressures been authorised by site owner?

  • Are the risk assessments relevant and being applied?

  • Has the appointed person given contact details?

  • Additional comments on this section are:

Report Summary

GENERAL ASSESSMENT

  • Management Systems

  • Site Operations

  • Lift Operations

GENERAL ASSESSMENT

  • All matters requiring attention have been discussed with me and I have noted and received the contents of this report.

  • Add signature

  • Site Representatives comments

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