Uphire - Petbarn Forklift Site Audit

• Company

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Forklift Make/ Model

• Forklift Serial Number

• Hour meter

• Unit Stored Appropriately

  Safe

  At Risk

  N/A

2. Physical Appearance and Condition

• General Cleanliness and Condition

  Safe

  At Risk

  N/A

• Wheel and Tyre appearance (puncture, damage, wear)

  Safe

  At Risk

  N/A

• Pollution by handled products/ goods

  Safe

  At Risk

  N/A

• Bodywork ( lights, wings, bonnet)

  Safe

  At Risk

  N/A

3. Mechanical Safety Inspection

• Forks, panel and mast in good condition ( not deformed)

  Safe

  At Risk

  N/A

• Road brake working

  Safe

  At Risk

  N/A

• Handbrake working

  Safe

  At Risk

  N/A

• Lifting / translation/ tilt functions in good condition

  Safe

  At Risk

  N/A

• Hydraulic leaks noted

  Safe

  At Risk

  N/A

• Suspended seat in condition, good attachment.

  Safe

  At Risk

  N/A

4. Electrical Safety Inspection

• Working lighting / instruments ( for night works).

  Safe

  At Risk

  N/A

• Horn works

  Safe

  At Risk

  N/A

• Flashing light works

  Safe

  At Risk

  N/A

• Reverse beep/ hooter

  Safe

  At Risk

  N/A

• Extinguisher (6Kg dry chemical powder)

  Safe

  At Risk

  N/A

• Comments

• More picture

  Media

• Date and Time

  Date

• Store Representative Signature

  Sign

• Uphire Representative Signature

  Sign