Raymond forklift 1

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Visual checks

• Mast rollers & slides?

  Safe

  At Risk

  N/A

• Chain pulleys?

  Safe

  At Risk

  N/A

• Hydraulic rams?

  Safe

  At Risk

  N/A

• Hydraulic cables?

  Safe

  At Risk

  N/A

• Wheels?

  Safe

  At Risk

  N/A

• All round external condition?

  Safe

  At Risk

  N/A

Operational Safety Checks

• Lights?

  Safe

  At Risk

  N/A

• Audible warning system?

  Safe

  At Risk

  N/A

• All hydraulic systems?

  Safe

  At Risk

  N/A

• Driving operation (no play in the steering)?

  Safe

  At Risk

  N/A

• Foot brake function?

  Safe

  At Risk

  N/A

• Park brake function?

  Safe

  At Risk

  N/A

• Is the lift truck In a safe operational condition?

  Yes

  No

Signatures

• Operators signature.

  Sign

• Safety officer signature.

  Sign