Equipment/Forklift Inspection
Please complete the inspection by marking pass/fail and noting any issues.
Equipment Information
Equipment #
*
Inspector
*
Job #
Operating Controls (Operational)
Emergency Stop & Brakes
*
Inspected
Needs Attention
Operator Restraint System
*
Inspected
Needs Attention
Steering Controls
*
Inspected
Needs Attention
Foot Controls (if applicable)
*
Inspected
Needs Attention
Safety Signs, Load Chart, and Tags (Readable)
*
Inspected
Needs Attention
Deficiencies:
Drivability
Broken, Cracked or Loose Parts
*
Inspected
Needs Attention
Leaks
*
Inspected
Needs Attention
Tires, Wheels & Brakes, Back Up Alarm & Safety Lights
*
Inspected
Needs Attention
Deficiencies:
Final Notes and Signoff
Additional Notes
Inspector Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: