Stranville Projects Forklift Safety Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Conditions

• Conditions

  Safe

  At Risk

  N/A

Equipment damage checklist

• Windshield condition

  Yes

  No

  N/A

• Mast

  Yes

  No

  N/A

• Carriage

  Yes

  No

  N/A

• Forks

  Yes

  No

  N/A

• Seatbelt

  Yes

  No

  N/A

• Tires

  Yes

  No

  N/A

• Hydraulic hoses

  Yes

  No

  N/A

• Belts and pulleys

  Yes

  No

  N/A

• Overhead guard

  Yes

  No

  N/A

• Is a fire extinguisher available?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Propane, diesel, Petrol

• Fuel level

  Yes

  No

  N/A

• Relief valve

  Yes

  No

  N/A

• Yes

  No

  N/A

• No leaks

  Yes

  No

  N/A

• Safety straps

  Yes

  No

  N/A

Operational check

• All gauges/indicators

  Yes

  No

  N/A

• Coolant level

  Yes

  No

  N/A

• Warning lights

  Yes

  No

  N/A

• Operational lights

  Yes

  No

  N/A

• Oil level

  Yes

  No

  N/A

• Hydraulic fluid level

  Yes

  No

  N/A

• Starting

  Yes

  No

  N/A

• Horn steering

  Yes

  No

  N/A

• Accelerator

  Yes

  No

  N/A

• Engine oil leaks

  Yes

  No

  N/A

• Parking brake

  Yes

  No

  N/A

• Operational brake

  Yes

  No

  N/A

• Lift operation

  Yes

  No

  N/A

• Tilt operation

  Yes

  No

  N/A

General safety

• Should the equipment be taken out of service?

  Yes

  No

  N/A

• Problems reported?

  Yes

  No

  N/A

Signatures

• On site representative

  Sign

• Auditor signature

  Sign