• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Operator Safety Information

  • Has the operator been trained or refreshed within the last two years?

  • Is there a copy of the operators certificate in their training file?

  • Has the operator signed an authorisation to operate form, renewable annually?

  • Is the operator aware of the correct fault reporting procedures?

  • Has the operator certification and authorisation to operate records been checked?

  • Date of training or refresher course?

  • Date of company written authorisation?

Truck Information

  • Truck Type?

  • Make?

  • Model?

  • Serial Number?

  • Capacity?

  • Motive power?

  • Attachments?

Visual checks

  • Carriage pate Is the safety data information plate attached and legible?

  • Load handling device (forks, clamp, etc)?

  • Backrest extension?

  • Mast?

  • Mast rollers & slides?

  • Lift chains?

  • Chain pulleys?

  • Hydraulic rams?

  • Hydraulic cables?

  • Wheels?

  • Tyres?

  • All round external condition?

  • Counterweight?

  • Has the key been removed when the lift truck is unattended?

  • Operators position?

  • Operators seat & seat restraint?

  • LPG cylinder (LPG powered truck)?

Operational Safety Checks

  • Starting procedure (engine truck)?

  • Starting procedure (electric truck)?

  • Starting procedure (LPG truck)?

  • Lights?

  • Audible warning system?

  • All hydraulic systems?

  • Driving operation (no play in the steering)?

  • Foot brake function?

  • Park brake function?

  • Is the lift truck In a safe operational condition?


  • Operators signature.

  • Safety officer signature.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.