QSHE 146 - FLT Daily Check Sheet

• Select date

  Date
• Location
  Address

• FLT NUMBER

• Completed by

• Fork Arm in good condition?

  Yes

  No

  N/A

• Capacity/ carriage Plates are fitted & legible?

  Yes

  No

  N/A

• Back Rest Extension

  Safe

  At Risk

  N/A

• Mast

  Safe

  At Risk

  N/A

• Mast Rollers & Slides

  Safe

  At Risk

  N/A

• Lift Chains

  Safe

  At Risk

  N/A

• Chain Pulleys

  Safe

  At Risk

  N/A

• Wheels

  Safe

  At Risk

  N/A

• Tyres in good condition and free from damage?

  Yes

  No

  N/A

• External Condition inc mirrors and overhead guard

  Safe

  At Risk

  N/A

• Operating Position

  Safe

  At Risk

  N/A

• Operators Seat functional?

  Yes

  No

  N/A

• Starting Procedure (Electric)

  Safe

  At Risk

  N/A

• Lights working (Driving & Flashing)?

  Yes

  No

  N/A

• Audible Warning working (Horn etc.)?

  Yes

  No

  N/A

• Steering/Brakes functional?

  Yes

  No

  N/A

• Hydraulic Fluid Levels suitable?

  Yes

  No

  N/A

• Hydraulic Controls working?

  Yes

  No

  N/A

• Batteries/Water Level suitable?

  Yes

  No

  N/A

• Charger & Charger Leads (No visible damage)?

  Safe

  At Risk

  N/A

• Gas connection- hose, regulator (No visible damage)?

  Safe

  At Risk

  N/A

• Add signature

  Sign

The person signing this check sheet confirms that the FLT has been inspected before use and has reported any defects to their supervisor.