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10-F19 Forklifts Daily Inspection

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MACHINERY, TOOLS AND EQUIPMENT SAFETY

OHS-PR-02-10-F19 FORKLIFT DAILY INSPECTION

OPERATOR NAME: VEHICLE No:

DEPARTMENT / SITE: WEEK ENDING:

HOUR METER READING: VEHICLE TYPE:

NB: 1. All the items under each step in the "ITEMS TO BE CHECKED" column must be checked daily.
2. Indicate in the column under each day "OK“ or "DEF" or N/A . If any of the items are defective the vehicle MAY NOT
BE USED until the defect is corrected, and checklist is signed by the Manager or Supervisor.

ITEMS TO BE CHECKED SUN MON TUE WED THU FRI SAT COMMENT
1. Lubrication adequate?

2. Switches in good working order?

3. Gauges in good working order?

4. Brakes in good working order?

5. Forks / Backrest / Mast / Chains / Rollers: no


damage, good working condition ?

6. Horn in good working order?

7. Lights in good working order?

8. Pedal rubbers in good condition?

9. Wheel nuts secure, rims and tyres in good


condition?
10.All pipes in good condition?

11.Oil and coolant – levels and leaks?

12.Fanbelt/s in good condition and correct tension?

13.Caps (i.e. oil, petrol, etc.) secure?

14.Battery mounting secure?

15.Control levers in good working order?

16.Compartment/seat in good condition?

17.Seatbelt: good working order, no damage?

18.Hydraulic oil level correct?

19. Propane tank (if applicable) ,secured,


connections tight, hose and shutoff valve in good
condition?
20.Reverse siren

21.Beacon or strobe warning light

22.Fire Extinguisher mounted, numbered & checked

23. Signage and stickers legible / Capacity plate .

FIT FOR USE - YES / NO

DATE OF INSPECTION

SIGNATURE – DRIVER

SIGNATURE – SUPERVISOR or MANAGER

SPOT CHECK

Checked by Name:: Disignation: Signature

Page 1 of 1 Rev. 0 [May - 2020] OHSMS Approved Document

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