Monthly Forklift Inspection Form

• Forklift number

• Conducted on

  Date

• Prepared by

Forklifts

• Is the driver trained to operate the forklift?

  Yes

  No

  N/A

• Is the forklift given a daily visual inspection?

  Yes

  No

  N/A

• Does the forklift carry a name plate showing its weight capacity?

  Yes

  No

  N/A

• Does the forklift have a" No Riders" sign posted in a visible area on the forklift?

  Yes

  No

  N/A

• Does the forklift have an operating horn and back up alarm?

  Yes

  No

  N/A

• Is a seat belt installed and worn by the driver?

  Yes

  No

  N/A

• Is the forklift operating instructions posted in the shop?

  Yes

  No

  N/A

• When operating the forklift, are the forks lowered to within 4 to 6 inches from the ground?

  Yes

  No

  N/A

• When loading/unloading wire rope and other equipment from trucks does the operator of the forklift ensure that all personnel are at a safe distance from the forklift and truck?

  Yes

  No

  N/A

• When a forklift is left unattended, are the forks fully lowered, controls neutralized, power shut off, breaks set, and tires Chocked? (Chocks are required when forklift is parked on an incline.)

  Yes

  No

  N/A

Recommendations

• Write your recommendations here

Completion

• Full Name and Signature of Inspector

  Sign