FORKLIFT/GRADALL DAILY INSPECTION
Company:
*
Please Select
Affiliated Construction
A American
BEK
BCS
Bruce Matson
Bucher
Dorvin D. Leis
Geosolutions
Harris Rebar
IG Steel
Island Flooring
NPCL
OMG
Otis
WASA
WE Painting
Name of Operator:
*
Project:
*
Date of Inspection:
*
/
Year
/
Month
Day
Date
Forklift Brand/Model
Please Select
Komatsu 25
3013
5519
B25S
JLG SkyTrak
Genie
FG25T-16
Hyster50
Taillift PFD18
Toyota 8FGU25
UniCarriers Nomad 50
Meter Reading:
*
Location:
*
Work To Be Done:
*
INSPECTION ITEMS:
1. The operator is trained in forklift operation and has training documentation on-site.
*
YES
N/A
2. The operator will utilize seatbelt while operating forklift, and will obey speed limits and applicable traffic laws on-site.
*
YES
N/A
VISUAL INSPECTION:
3. The operator read the manufacturer’s operation manual, the manual is present and legible in forklift cab.
*
YES
N/A
4. Safety decals and load charts are legible and present.
*
YES
N/A
5. Fluid levels are checked, and equipment inspected for fluid leaks (hydraulic oil, transmission fluid, engine oil, coolant, etc.)
*
YES
N/A
6. Battery inspected for covered terminals, and cable/insulation damage.
*
YES
N/A
7. Overhead guard, mast, lift chains, rollers, and forks inspected for defects (cracked welds, dents, rust, corrosion, missing nuts/bolts, etc.)
*
YES
N/A
8. Tires & wheels are in good condition, with adequate air pressure.
*
YES
N/A
9. Control panel and levers are clean, labels clearly visible (no paint over spray, etc.)
*
YES
N/A
10. Fire extinguisher present, inspected up-to-date, and secured in cab.
*
YES
N/A
FUNCTION TESTING:
11. Braking and steering devices are operating properly.
*
YES
N/A
12. Load-handling attachments are inspected for noise/hesitation during lifting and lowering.
*
YES
N/A
13. Tow hook functioning properly, with smooth engage/disengage, and adequate safety latch.
*
YES
N/A
14. Motion alarms and horns are functional and audible.
*
YES
N/A
15. All Safety Indicator lights are working properly.
*
YES
N/A
16. Seatbelt is functioning properly.
*
YES
N/A
17. All control levers and gauges are in good condition and functioning properly.
*
YES
N/A
WORK AREA INSPECTION:
18. Work area is clear of drop-offs, holes, bumps, debris, slopes, overhead obstructions, and slippery surfaces
*
YES
N/A
19. Weight of forklift, workers, and other equipment is within floor capacity of work area.
*
YES
N/A
20. Weather and wind in work area have been evaluated and determined acceptable for forklift use.
*
YES
N/A
Operator Signature:
*
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