RCK Daily Forklift Inspection

• Each forklift will be operationally tested and visually inspected each day. The designated user will complete the inspection for each item. If there is a problem related to any item leave a brief description of the problem. Immeadiately notify management of any lift defects.

• Name

• Machine Type/Reg No

• Job Type

• Conducted on

  Date
• Location
  Address
• Site Name
  Address

Operating Controls (Operational)

• Emergency Stop & Brakes

  Safe

  At Risk

  N/A

• Operation Levers & Controls

  Safe

  At Risk

  N/A

• Foot Controls

  Safe

  At Risk

  N/A

• Safety Signs & Load Charts

  Yes

  No

  N/A

Boom & Forks

• Hydraulic Leaks

  Select Yes No

  • Yes
  • No

• If there is a hydraulic leak, place picture here.

  Media

• Extension Cylinders & Chains

  Safe

  At Risk

  N/A

• Pivot Pins

  Safe

  At Risk

  N/A

• Electrical Lines

  Safe

  At Risk

  N/A

• Vert. Mast Sliding & Rolling Prts.

  Safe

  At Risk

  N/A

Base (Visual)

• Broken, Cracked or Loose Parts

  Select Yes No

  • Yes
  • No

• Describe?

  Yes

  No

  N/A

• If there are damaged parts, place picture here.

  Media

• Lights, Mirrors & Windows Clean

  Yes

  No

  N/A

• Seat Belt & It's Mounts

  Safe

  At Risk

  N/A

• Tires & Outriggers

  Safe

  At Risk

  N/A

• Back Up Alarm, Horn & Manual

  Safe

  At Risk

  N/A

Engine Compartment

• Oil Level

  Safe

  At Risk

  N/A

• Have you restored to correct level?

  Yes

  No

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Water Level

  Safe

  At Risk

  N/A

• Have you replenished to correct level?

  Yes

  No

  N/A

• Belt, Hose & Motor Condition

  Safe

  At Risk

  N/A

• Battery & Electrical

  Safe

  At Risk

  N/A

• Add signature

  Sign

• Select date

  Date