PENTEL DRYWALL, INC / FORKLIFT SAFETY INSPECTION CHECK LIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SKYTRACK 8042 # 02-8. Serial 01600009907

EQUIPMENT DAMAGE CHECK

• Mast

  Safe

  At Risk

  N/A

• Carriage

  Safe

  At Risk

  N/A

• Forks

  Safe

  At Risk

  N/A

• Seat belt

  Safe

  At Risk

  N/A

• Back rest

  Safe

  At Risk

  N/A

• Tires

  Safe

  At Risk

  N/A

• Hydraulic hoses

  Safe

  At Risk

  N/A

• Belts & pulleys

  Safe

  At Risk

  N/A

• Overhead Guard

  Safe

  At Risk

  N/A

• Fire extinguisher

  Safe

  At Risk

  N/A

POWER PLANT

• Battery connections

  Safe

  At Risk

  N/A

• Fuel tank damage/leaks

  Safe

  At Risk

  N/A

• Fuel lines / nozzles / valves

  Safe

  At Risk

  N/A

OPERATIONAL CHECK

• All gauges / indicators

  Safe

  At Risk

  N/A

• Oil level

  Safe

  At Risk

  N/A

• Coolant level

  Safe

  At Risk

  N/A

• Fuel level

  1/4

  1/2

  3/4

  Full

• Hydraulic fluid level

  Safe

  At Risk

  N/A

• Starting

  Safe

  At Risk

  N/A

• Battery power

  Safe

  At Risk

  N/A

• Lift operation

  Safe

  At Risk

  N/A

• Tilt operation

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Back up alarm

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Parking brake

  Safe

  At Risk

  N/A

• Optional brake

  Safe

  At Risk

  N/A

GENERAL SAFETY

• Should equipment be taken out of service

  Yes

  No

  N/A

• Problems reported

  Yes

  No

  N/A

• Inspection must be done before each shift or before equipment is used for that day.

• Competent Person

  Sign