TEST - Forklift Pre-start (V20220905)

• • Check before the start of each shift (Daily)
  • You must be licensed and competent to inspect and operate a CEQ forklift
  • The Store Manager needs to be notified of any issues immediately. Check if the forklift needs to be tagged out before operation. If tagged out do not operate until it has been restored to safe operating condition.
  • Seat Belts must be worn at all times
  • All staff working in the area of an operating forklift must be wearing a hi-vis vest

Facilitator Signature

• Name and Signature

  Sign
(Press "+" to add additional signatures)

• Name and Signature

  Sign

• Have you provided the CEQ Safety Team with a photo copy of your licence? (Licence to preform high risk work required to operate a forklift)

  Yes

  No

• Are you training under the supervision of a licenced operator?

  Yes

  No

• Provide a copy of the supervisors licence

  Media

• Provide a photo of your licence

  Media

Site and forklift details

• Site conducted

  Select

• Photo of Forklift

  Media

• Forklift make

  CROWN

  KOMATSU

  YALE

  TOYOTA

  Other

• Does the forklift have a number plate

  Yes

  No

• Hour Meter Reading

• Last service date

  Date

Forklift Inspection

• Leaks - Check the floor of where the forklift is parked. Are there any fluid leaks found?

  Yes a leak has been found

  No leaks found

• Please provide information on the leak (i.e. What is leaking? Is there visible damage that has caused the leak?)

• Tyres - Check each tyre. Is there any damage? (damage, wear or pressure issues)

  Select Yes, A tyre is damaged and needs repair No, all tyres are in good condition

  • Yes, A tyre is damaged and needs repair
  • No, all tyres are in good condition

• Please provide more information on the damaged tyre (i.e. what tyre is damaged? what is wrong with it?)

• Fluids - Check oil levels (hydraulic and engine), battery fluid, fuel and coolant levels

  Yes

  No

• Seating - Check the condition and adjustment and that the seat attachment point is secure

  Yes

  No

• Seatbelt - Make sure it is in good working order (if fitted)

  Yes

  No

• Battery - Electrolyte level

  Yes

  No

• Warning devices - Check horn is operational. Check all other fitted devices, such as lights, reversing beeper and flashing beacon, are operational

  Yes

  No

• Capacity - Check that the load capacity data plate is fitted, legible and correct (confirm that the forklift has sufficient capacity and reach for the load being lifted)

  Yes

  No

• Mast - Check for signs of damage. Check lift chains and guides for wear

  Yes

  No

• Hydraulic cylinders and hoses - Check for any leaks, cracks, deterioration and frays in hoses

  Yes

  No

• Tines - Check for excessive wear, damage, bends, modifications, cracks or repairs, and that they are securely attached

  Yes

  No

• Guarding - Check that all guards are in place

  Yes

  No

• Attachments - Check any attachments for wear, damage and for correct function. Attachments should be annotated on the load capacity data

  Yes

  No

• Once the forklift has been started

  Yes

  No

• Controls - Check that all pedals and controls operate correctly (including steering)

  Yes

  No

• Brakes - Check that the brakes (including parking brake) operate correctly

  Yes

  No