MAD-Forklift Operator Checklist

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  Date

• Fork lift ID#:

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EXTERIOR

• Tires are inflated and free of excessive wear. (For solid tires no chunks > 1" missing). Lug nuts are tight

  Yes

  No

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• Inform operator and foreman. Tag lift out of service until technician services fork lift.

• Forklift body is in good repair.

  Yes

  No

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• Inform operator and foreman. If damage is cosmetic and does not affect function, fork lift may still be used. If damage affects function, tag out of service until repaired by technician.

• Forks and mast are not bent, worn, or cracked. Upper limit stops are OK.

  Yes

  No

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• Inform operator and foreman. Tag lift out of service until technician services fork lift.

• Load rest back extension is in place and not bent, cracked, or loose.

  Yes

  No

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• Inform operator and foreman. Tag lift out of service until technician services fork lift.

• ROPS is in place and not bent, cracked, or loose.

  Yes

  No

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• Inform operator and foreman. Tag lift out of service until technician services fork lift.

• Attachments (if equipped) are approved for use and in good repair.

  Yes

  No

  N/A

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• Inform operator and foreman. Tag attachment out of service. Fork lift may still be used. Notify Division Safety Manager.

ENGINE

• Oil is at proper level.

  Yes

  No

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• Inform operator and foreman. Tag the fork lift out of service until appropriate oil level is attained.

• Hydraulic fluid is at proper level.

  Yes

  No

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• Inform operator and foreman. Inspect under fork lift for leaks and inspect hydraulic hoses and couplings thoroughly. Tag the fork lift out of service until appropriate fluid level is attained.

• Radiator coolant is at proper levels.

  Yes

  No

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• Inform operator and foreman. Inspect under fork lift for leaks and inspect coolant hoses and couplings thoroughly. Tag the fork lift out of service until appropriate fluid level is attained. NOTE: Never remove radiator cap on hot engine!

• Battery connections are tight.

  Yes

  No

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• Inform operator and foreman. If repairs are to be made ensure proper PPE (goggles, nitrile gloves) are used to protect against battery acid.

• Covers and guards are in place around battery and other hazardous parts.

  Yes

  No

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• Inform operator and foreman. If repairs are to be made ensure proper PPE (goggles, nitrile gloves) are used to protect against battery acid.

• Engine runs smoothly and quietly without stalling or leaking.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

OPERATOR CAB

• Load rating plate is present and readable.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Rating charts for any attachments are present and readable.

  Yes

  No

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• Inform operator and foreman. Tag attachment out of service. Fork lift may still be used. Print out rating chart and remove tag. Call Division Safety Manager is assistance is needed.

• Warning decals are present and readable.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until labels are replaced. NOTE: Temporary warning labels can most likely be made via a photocopy of the warning labels in the operator's manual. These may be used until permanent labels are obtained from the manufacturer.

• Seat belt is accessible and operational.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Horn works properly.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Back-up alarm works properly.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• All gauges and instruments are functioning properly.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Controls are labeled, do not bind and return freely to neutral.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Steering is smooth and responsive without excessive play.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Brakes work smoothly without grabbing. No fluid leaks.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Parking brake works properly.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until repaired by technician.

• Fire extinguisher present, functional, and currently inspected.

  Yes

  No

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• Inform operator and foreman. Tag fork lift out of service until fire extinguisher is repaired or replaced.

OPERATOR

• Operator is currently certified and operating is a safe manner.

  Yes

  No

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• Inform operator and foreman. Operator must be retrained in order to operate fork lift.

• Operator Name:

• Date of operator training:

  Date