FORKLIFT SAFETY CHECKLIST
Checks Carried Out By:
*
First Name
Last Name
Model / Serial No:
*
Lights/Horn/Beacon
*
PASS
FAIL
Condition of Battery/Gas/Fuel
*
PASS
FAIL
Controls/Steering
*
PASS
FAIL
Lift Operation(Smoothness)
*
PASS
FAIL
Tilt Operation(Smoothness)
*
PASS
FAIL
Fluid Levels/Leaks
*
PASS
FAIL
Brakes / Parking Brake
*
PASS
FAIL
Tyre Wear/Inflation
*
PASS
FAIL
Hydraulic System/Leaks
*
PASS
FAIL
Lift Chains
*
PASS
FAIL
Faulty Or Damaged Guards
*
PASS
FAIL
Gauges/Instruments
*
PASS
FAIL
Capacity Plates
*
PASS
FAIL
Seat Belt/Seat
*
PASS
FAIL
Propane Tank Condition
*
PASS
FAIL
Engine Oil/Leaks/Fluid
*
PASS
FAIL
Forklift Cleanliness
*
PASS
FAIL
Operators Manual/Labels
*
PASS
FAIL
Nil Defect
*
YES
NO
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Issues Reported To:
*
Any Other Defects or Problems?
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Fork Defect Notes
Tyre Defect Notes
Signature
*
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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