LIFITING MACHINERY & EQUIPMENT

OHS-PR-02-19-F05 FORKLIFT DAILY INSPECTION

DEPARTMENT
DATE:
REPORT NO:
AREA:

REG. No: DATE FROM: TO: DRIVER:

TIME IN:

TIME OUT:
1. All the items under each step in the "ITEMS TO BE CHECKED" column must be checked by the driver on a daily basis.
2. Indicate in the column under each day "OK“ or "DEF". If any of the items are defective the vehicle MAY NOT leave the premises until the defect is
corrected, and checklist is signed by the Transport Manager or Supervisor.
ITEMS TO BE CHECKED SUN MON TUES WED THR 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. Hoisting mechanisms in good working order?

6. Horn in good working order?

7. Lights in good working order?

8. Pedal rubbers in good condition?

9. Wheel nuts and bolts secure?

10. Wheel rims and tyres in good condition?

11. All pipes in good condition?

12. Oil and coolant – levels and leaks?

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

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

15. Battery mounting secure?

16. Control levers in good working order?

17. Compartment/seat in good condition?

18. Safety belt in good condition?

19. Hydraulic oil level correct?

20. Gas shut-off valve operational/hose not damaged?

21. Gas tank mountings secure?

22. Reverse siren

23. Beacon or strobe warning light

24. Fire Extinquisher fully charge and in good condition?

FIT FOR USE

DATE OF INSPECTION
SPOT CHECK
SIGNATURE – DRIVER DATE: ………………………..

SIGNATURE – SUPERVISOR or MANAGER NAME: …………………………..

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