QMS-TM-HSSE-CL/SF-004 Rev0

FORKLIFT INSPECTION CHECKLIST

PROJECT NAME DOC NO.

CONTRACTOR DATE
TYPE OF FORKLIFT REGISTER NO.
SERIAL NO. FORKLIFT CAPACITY

NOT
ITEM DESCRIPTION INSPECTION PASS REMARK
PASS
1 Condition of structure/ color / guard/ handrail
2 Operator license
3 Condition of breaking system
4 Condition of lifting sling and lifting gear
5 Condition of slewing ,reversing and horn alarm system
6 Load chart indicator    
7 Condition of computer controller
8 Lifting structure and chain travelling system
9 Condition of engine
10 Condition of hydraulic hose and boom system
11 Condition of battery and indicator
12 Tilt control system
13 Lifting control system
14 Overhead guard
15 Limit switch system
16 LPG (Condition of LPG leakage system
17 Condition of electric & Lighting system
18 Condition of tires
19 Condition of Operator’s competency
20 Condition of Car's cleanness
21 Fire extinguisher in car
22 Other

Inspector or Safety Officer comments:

Name of Request Date/Time

Contractor Safety officer Date/Time
Inspector Name Date/Time

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