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912/22, 1:51 PM Monthly Fort Inspection Form Checklist - SafetyCukure “za by SafetyCulture iAuditor Convert your paper ra GO DIGITAL TODAY oo] * Oo} checklists into digital forms Sean this QR code fo use tis Forklifts Is the driver trained to operate the forklift? Yes No N/A Is the forklift given a daily visual inspection? Yes No N/A s the forklift carry a name plate showing its weight capacity? Yes No N/A s the forklift have a’ No Riders” sign posted in a visible area on the forklift? Yes No N/A the forklift have an operating horn and back up alarm? Yes No N/A Isa seat belt installed and worn by the driver? Yes No N/A tps spub-ibrary saetycultrejolproducts!monthly-frklitinspection-orm-ADABHrelerrer=hilps*s3A%2F%2Fsaletyculture.comt2Fchecklsts.. 113 972/22, 1:51 PM Monthly Fordit Inspection Form Checklist - SafetyCukure Is the forklift operating instructions posted in the shop? Yes No N/A When operating the forklift, are the forks lowered to within 4 to 6 inches from the ground? Yes No N/A When loading/unloading wire rope and other equipment from trucks does the operator of the forklift ensure that all personnel are at a safe distance from the forklift and truck? Yes No N/A When a forklift is left unattended, are the forks fully lowered, controls neutralized, power shut off, breaks set, and tires Chocked? (Chocks are required when forklift is parked on an incline.) Yes No N/A Does forklift have a current/charged 5 Lb fire extinguisher installed on it? Yes No N/A Recommendations Write your recommendations here Completion tps spubi-ibrary saetycultrejolproducts!monthly-frklit-inspection-orm-ADEBHrelerer=hilps*s3A%2F%2Fsaletyculture.comts2Fchecklsts... 23 972122, 181 PM Monthly Forkit Inspection Form Checklist - SafetyCukure Full Name and Signature of Inspector o } ‘The templates avalable in ou Puble Library have been oreatd by ou customers and erpleyees to help get you started using SafeyCuhure's soktons, The pete: are intone tobe wees as hypothetical examples onl and shoul not be used 282 subst tte fr professional advee You should seek yur ov ovofessional advice to deter the use of a template is permissible n your workplace a json. Any ratings or scores d splayed in our Puble Library ‘ave not een verifies by SaetyCulue for accuracy. Users of ou platform may provide arating or score that 'sincorreet or misleaing. Yau shal indeperdenycetermine wether he temoates sutabe for you cumstances, You can use our Public Library o search based on erteria such as indus an subject matter. Search results are based en the relevance o your search and othe criteria We may feature checklists based on subject ‘matters we thnk maybe of interest to our customers ntps:fpublic brary safetyculture.jojproductsimonihly-forlitinspector-form-ADSBH7referor=hlips%63A%2F%2Fsalelyculure.comMé2Fchecklss.... 3/3

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