Forklift Inspection

PRE-SHIFT EQUIPMENT INSPECTION
Company*
Date*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option
Project Name*
Unit #*
Hour/Mileage*
Glass?*

GoodN/A
Cab?*

GoodN/A
Horns?*

GoodN/A
Operator Manual?*

GoodN/A
Seat belt?*

GoodN/A
Load Chart in Cab?*

GoodN/A
Capacity Plate?*

GoodN/A
Controls Functioning Properly?*

GoodN/A
Gauges Functioning Properly?*

GoodN/A
Back Up Alarm?*

GoodN/A
Lights?*

GoodN/A
Heating and A/C System Functioning?*

GoodN/A
Fire Extinguisher?*

GoodN/A
Steering Functioning Properly?*

GoodN/A
Brakes Functioning Properly?*

GoodN/A
Tires?*

GoodN/A
Forks/Carriage?*

GoodN/A
Boom/Stick?*

GoodN/A
Pins and Keepers?*

GoodN/A
Angle and Indicator?*

GoodN/A
Loose or Broken Parts?*

GoodN/A
Engine Oil Level/Leaks?*

GoodN/A
Steering Fluid?*

GoodN/A
Hydrualic Lines/Leaks?*

GoodN/A
Coolant Level/Leaks?*

GoodN/A
Transmission Fluid Level/Leaks?*

GoodN/A
Fuel Level/Leaks?*

GoodN/A
Comments/Any deficiencies?
Items rechecked after extended breaks?*

YesNo
Was supervision contacted at time of inspection for items needing immediate attention?*

YesNo
Operator Name (Print)*
Operator Signature*
Supervisor Name (Print)*
Should be Empty: