Title Page

  • Equipment S/Number:

  • Equipment (Location):

  • Employee name:

  • Date and time checked:

Manual Handling Devices Inspection Checklist

  • Check before use
    ✔️=OK
    ❌=Action Needed

Pallet Truck

  • Check load - capacity plate is fitted, legible and correct

  • Inspect forks for damage

  • Check Wheels

  • Check hydraulic jack cylinder for any leaks

  • Check jack lifts all the way up

  • Check lowering handle

  • Check Operation - lift, hold and lowering

  • Check all bolts and fasterners

  • Check blade rollers

  • Any other visible damage (write details below)

Sack Barrow

  • Check Wheels

  • Check Frame / Handles

Trolley

  • Check Wheels

  • Check Frame / Handles

Board / Tensa Rails Carrier

  • Check Wheels

  • Check Breaks

  • Check Frame for damage

  • Comments:

  • Note: if there is any negative points, please write the necessary actions to be taken, following this spot check.

Sign-off

  • I confirm I have checked the equipment before and after use and it is in safe working order. I can confirm that I am competent in the use of this machinery and not only I have been trained and completed the steps to success training program, but I've also followed the right procedure as described in the 550W.

  • Employee Name, Signature, Date:

  • Screenshot 2023-06-02 160701.png
  • Screenshot 2023-06-02 160724.png
  • Screenshot 2023-06-02 160739.png
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.