Title Page
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Company
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Prepared by
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Conducted on
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Location
Exterior
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Landscaping clean & neat in appearance
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Fence lines free of damages and debris
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Traffic controls (gates, lot markings, signage)
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Exterior walls & windows in good condition
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Exterior lighting and signage
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Walkways and parking lots free of slip, trip, fall hazards
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Doors, stairs, handrails in good condition.
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SWPPP - Gutters, downspouts, and drains free of debris
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SWPPP - Parking lot free of parts, debris, service work
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SWPPP - Dumpsters closed and well kept
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SWPPP - If nearby creeks, lakes, water sources-free of dirt/parking lot run off
Exterior Dock Area
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Chock Blocks on trailers in dock
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dock bumpers and door seals in good condition
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dock levelers & trailer locks secured properly
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Dock aprons clean & free from debris
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Access doors and steps free from debris
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Driver check in and entry doors clearly marked
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Trailer seals checked and in use?
Interior (Office Area)
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Entry is controlled/limited
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Entrance/Reception area free of hazards: Slip/Trip/Fall
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Emergency Response information posted
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Print, complete & Post attached Emergency Contact Number Template.
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Signage and Markings as required
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Employee Breakrooms, clean and well maintained
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Bathrooms are well lit, stocked, free from leaks, and maintained/clean
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Lighting in all rooms working properly
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Cords are not laid between door/window ways
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Floors in good condition: Free of slip/trip/fall hazards
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Personal heaters not overloading circuits/creating fire hazards
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No improper use of extension cords or power banks/circuit overloads
Forklift Charging Area
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Please find attached posting that should be near the forklift charging/watering area.
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Ventilation is adequate to disperse fumes
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PPE Station is available (Rubber gloves, face shield, rubber aprons)
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Eyewash station available (able to provide 15 minute flow)
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Water supply/soda ash/spill kit for neutralizing spilled electorlyte.
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ABC rated fire extinguisher present
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Is charging apparatus protected from damage?
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Are battery cables and plugs free of damage?
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Is SDS and Emergency Procedure Posted?
Interior (Dock Area)
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Entry is controlled/limited
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Dock floor and work areas free of hazards: Slip/trip/fall
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All overhead lighting functioning properly
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Emergency Response information posted
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Signage and Markings as required
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Employee/Driver Breakrooms, clean and well maintained
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Bathrooms are well lit, stocked, free from leaks, and maintained/clean
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Lighting in all rooms working properly
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Cords are not laid between door/window ways
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Floors in good condition: Free of slip/trip/fall hazards
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Personal heaters not overloading circuits/creating fire hazards
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No improper use of extension cords or power banks/circuit overloads
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Dock scale/Demensionalizer free of debris and accessible
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Dock work stations organized, well marked, and free of hazard
Safety & Security
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Camera System Operational (recording and usable)
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Evacuation plans posted
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Federal, State, Local, and Insurance postings as required
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SDS Current, accessible, and marked
Aisles
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Are aisles properly marked?
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Do you maintain the standard width of aisles?
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Are aisles clear of obstructions?
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Is there adequate housekeeping?
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Are floors and surfaces clean, free of obstruction and slippery materials?
Racks
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Is there racking present?
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Safe working limits
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Rack load signs posted
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Racks conform to these signs
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Uprights and footplates
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Uprights are not damaged, i.e not twisted/no splits or cracks
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If an upright was replaced due to damage, the footplate is replaced; and splices in good condition
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Splices in accordance with the manufacturer’s technical specifications
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Racks stable, i.e., on a flat, level foundation
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Braces
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Racking braces not damaged/bent
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Floor anchors installed and not damaged
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Footplate replaced if a floor anchor was replaced due to damage
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Beams
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Beams not overloaded
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Beams show no sign of deflection
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Beams connect at an upright and beam connectors reasonably parallel
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Beams not damaged
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Beam connectors and safety clips are complete
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Beam connectors and safety clips are undamaged
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No beams pop out of their upright
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Welds are undamaged
Forklift Traffic
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Are daily/shift inspection reports being completed & retained (1 year)
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Are all forklift operators certified with in the last three years? Is this verified?
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Clear pathways and routes of travel
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Seatbelts being worn properly when in operation
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Operators traveling with loads at proper height/in proper direction
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Are convex mirrors, intersectional controls in place
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Are horns being sounded at intersections and off trailers
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Are directional lights, strobes, and other traffic devices being used?
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Door lock/in-use indications functioning properly
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Are dock plates in good condition, maintained, and functioning properly
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Has there been a red light pull in the last 3 months?
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What has been done to prevent this?
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Are operators traveling at appropriate speeds?
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Any evidence of "bulldozing" product? (Grooves in floor, debris, broken pallets, etc.)
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Appropriate PPE provided for refueling method
Stairs
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Are stair railings in good condition?
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Are hand rail provided on stairs with 4 or more risers?
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Are risers in proper and uniform height?
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Are standard railings provided on stairway floor opening?
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Are railings in place and secured?
Exits
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Are there enough building exits?
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Are there signs posted on exits?
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Are there emergency lights?
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Have they been tested and found in working order?
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Are exit signs and hallways well lighted and in proper standards?
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Are exits unlocked?
Ladders
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Are fixed ladders enclosed with cage or basket guard?
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Are there splinters or sharp edges on ladders?
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Are any step ladders longer than 20’?
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Scaffolding can carry the maximum intended load safely
Fire Protection
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Please review the attachment to learn about inspecting fire systems.
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Are fire extinguishers accessible & properly marked?
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Are fire extinguishers in good condition and inspected/marked every 30 days?
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Are fire extinguisher inspection tags clearly marked and current within the last year?
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Are there adequate containers for flammable materials, rags and wastes disposal?
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Is riser and sprinkler head clearance maintained according to fire security policies?
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Have the sprinkler systems been inspected annually? Can documentation be shown?
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Are fire alarms tested annually? Can documentation be shown?
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PPE, First Aid, Eye Wash
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Is PPE provided and worn when necessary? (Safety vests, hard hats, glasses, gloves, etc.)
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Is PPE in good condition?
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Are foot protection & dress code policies complied with?
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Eye Wash station inspected and maintained
Forklift Inspection Verification
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Please review this short visual aid on conducting forklift inspections
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Forklift Identifier:
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Tires & Brakes
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Horn
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Lights
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Mirrors
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Pedals
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Seat & Seatbelt
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Scales / Onboard equipment
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Forks/Mast
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Placards & ID Plate
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Maintenance/PM current
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Forklift Identifier:
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Tires & Brakes
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Horn
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Lights
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Mirrors
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Pedals
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Seat & Seatbelt
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Scales / Onboard equipment
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Forks/Mast
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Placards & ID Plate
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Maintenance/PM current
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Forklift Identifier:
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Tires & Brakes
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Horn
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Lights
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Mirrors
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Pedals
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Seat & Seatbelt
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Scales / Onboard equipment
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Forks/Mast
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Placards & ID Plate
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Maintenance/PM current
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Forklift Identifier:
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Tires & Brakes
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Horn
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Lights
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Mirrors
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Pedals
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Seat & Seatbelt
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Scales / Onboard equipment
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Forks/Mast
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Placards & ID Plate
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Maintenance/PM current
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Forklift Identifier:
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Tires & Brakes
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Horn
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Lights
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Mirrors
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Pedals
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Seat & Seatbelt
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Scales / Onboard equipment
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Forks/Mast
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Placards & ID Plate
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Maintenance/PM current
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Forklift Identifier:
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Tires & Brakes
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Horn
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Lights
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Mirrors
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Pedals
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Seat & Seatbelt
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Scales / Onboard equipment
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Forks/Mast
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Placards & ID Plate
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Maintenance/PM current
Recordkeeping
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Forklift inspections being retained for one year?
Pest Control
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Who is suppling pest control?
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How often do they visit?
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Are traps and bait boxes marked, free of damage, in good condition, and serviceable?
Completion
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Additional recommendation
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Full Name & Signature of Inspector