Nikkis OSHbox Forklift Pre-start Checklist 2022

• Site/Client Name

• Location
  Address

• Conducted on

  Date

• inspected by

• Forklift ID

Any visual damage to truck or forks?

• Are brakes and steering controls in good working order?

  Yes

  No

  N/A

• Any faults with the emergency stop?

  Yes

  No

  N/A

• Any faults with the control functions?

  Yes

  No

  N/A

• Any unusual noise or vibration?

  Yes

  No

  N/A

• Any damage to tines or load backrest?

  Yes

  No

  N/A

• Any damage to overhead guard or ROPS?

  Yes

  No

  N/A

• Any faults with tires including wheel nuts, inflation pressure and tread?

  Yes

  No

  N/A

• Any fluid leaks?

  Yes

  No

  N/A

• Any fluids outside of their appropriate range including engine, hydraulic, transmission, brake fluid, coolant and power steering?

  Yes

  No

  N/A

• Any faults with safety belt, reverse beeper, lights or horn?

  Yes

  No

  N/A

• Is the environment intended for work, well ventilated and clear of obstructions?

  Yes

  No

  N/A

• Battery (including charger) or LPG bottle (valve at top) checked

  Yes

  No

  N/A

• Check this box to indicate that you have included a picture and description of any faults identified (draw on reverse)

  Media

Onboard Documentation

• Operator/manufacturer’s instructions available?

  Yes

  No

  N/A

• Log books?

  Yes

  No

  N/A

• Operator Instruction labels (decals) are legible?

  Yes

  No

  N/A

• Current Certificate of Inspection?

  Yes

  No

  N/A

• Any damage to signage or rating plates on forklift?

  Yes

  No

  N/A

Emergency Retrieval System

• Are there emergency procedures that have been communicated to the appropriate personnel before the work begins?

  Yes

  No

  N/A

Operator Competency

• Has the operator got a WorkSafe approved forklift license?

  Yes

  No

  N/A

• Has the operator got a LTSA ‘F Endorsement’ when travelling on road?

  Yes

  No

  N/A

• Has the operator been signed off on Competency Assessment?

  Yes

  No

  N/A

Sign off

• Add signature

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