Information

  • Document No.

  • Audit Title

  • Conducted on

  • Terminal Location

Forklift Operator

  • Manager performing audit.

  • Employee being audited.

  • Forklift equipment number.

  • Is employee wearing his/her seatbelt?

  • Is employee wearing required eye protection?

  • Is employee wearing required lime green breakway vest?

  • Is employee wearing steel toe work boots with ankle protection and a defined heel?

  • Is employee wearing a hardhat?

  • Does employee have a valid erailsafe badge on his/her person?

  • Note: A badge in an employees locker or personal vehicle is not considered "on his/her person". Badge must be able to be readily produced if approached.

  • Does employee attire meet H&M prescribed standards? No loose or torn clothing, no shorts or sleeveless shirts.

  • If employee gets on or off his/her forklift, are they using the required 3 point contact while facing towards the machine?

Forklift

  • Outside appearance, is forklift neat and clean with equipment numbers easily read from a distance?

  • Do windows and mirrors provide required visibility?

  • Are forklift lights & flashers (If equipped) activated and functional?

  • Is vehicles strobe light on?

  • Do back-up and brake lights function properly?

  • Is back-up alarm functioning?

  • Is air horn properly working and equipped with proper pull cord?

  • Is electric horn functional?

  • Do gauges appear to be in proper working order?

  • Is interior light working?

  • Is vehicle equipped with a properly secured fire extinguisher?

  • Is fire extinguisher labeled with monthly inspection form signed and up to date?

  • Is interior of cab neat and clean with no garbage on floor or dash?

  • Is the floor mat in the vehicle in good condition with no tripping hazards?

  • Was the operator observed lifting only 1 chassis at a time as the rule dictates?

  • Any other observations?

  • Other observations photos.

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