Title Page

  • Conducted on

  • Prepared by

  • Location

Check list

  • Operator name

  • Equipment Type

  • What is the equipment

  • Operates equipment safely?

  • Familiar and shows understanding of truck controls?

  • Stops at all intersections and end of aisles?

  • Yields to pedestrians and uses caution when in congested areas?

  • Performs daily inspection (Checklist/infolink) correctly and understands why the checks are important?

  • Has knowledge of the job procedures?

  • Has knowledge of inspection, use and care of fall protection harness and lanyard (Cherry Pickers Only)

  • Knowledge of safety cut off switch

  • Knowledge of fire extinguishers, how to check and use?

  • Always faces direction of travel?

  • Understands and follows general safety rules?

  • Travels with forks no more than 6" off floor?

  • Ensures load is stable and does not transport an unstable load?

  • Lowers forks to floor, neutralizes controls, turns power off when parking?

  • Knows what to do if equipment needs maintenance?

  • Observer has discussed observations with operator?

  • Comments

  • Select date

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.