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Forklift Daily Safety Checklist

FORKLIFT SAFETY CHECKLIST

Please fill the Forklift Safety Checklist and Ensure Sure it is Submitted

CHECK CARRIED OUT BY: *

Date / Time *

Date

Time

FORKLIFT MODEL *

ALL FORKLIFTS TO BE CHECKED BEFORE STARTING WORK EACH DAY & SIGNED *

I HAVE A SUPPLY OF SANITISING WIPES TO BE USED BEFORE FORKLIFT CHECK AND TO WIPE DOWN COMMON AREAS

CHECKLIST - PLEASE INDICATE IF PASS OR FAIL *

PASS
FAIL(S) AS BELOW

LIGHTS / HORN / BEACON *

PASS
FAIL

BATTERY CONDITION *

PASS
FAIL

CONTROLS / STEERING *

PASS
FAIL

LIFT OPERATION (SMOOTHNESS) *

PASS
FAIL

TILT OPERATION (SMOOTHNESS) *

PASS
FAIL

FLUID LEVELS / LEAKS *

PASS
FAIL

BRAKES / PARKING BRAKE *

PASS
FAIL

TYRE WEAR / INFLATION *

PASS
FAIL

HYDRAULIC SYSTEM / LEAKS *

PASS
FAIL

LIFT CHAINS *

PASS
FAIL

FAULTY OR DAMAGED GUARDS *

PASS
FAIL

GAUGES / INSTRUMENTS *

PASS
FAIL

CAPACITY PLATES *

PASS
FAIL

SEAT BELT / SEAT *

PASS
FAIL

PROPANE TANK CONDITION *

PASS
FAIL

ENGINE OIL / LEAKS / FLUID *

PASS
FAIL

FORKLIFT CLEANLINESS *

PASS
FAIL

OPERATORS MANUAL / LABELS *

PASS
FAIL

OTHER (IF YES, PLEASE SPECIFY BELOW) *

IF YES WAS SELECTED - PLEASE DETAIL BELOW

PLEASE MARK ANY DEFECTS AND DETAIL BELOW

LEFT SIDE
RIGHT SIDE
FRONT
BACK

FURTHER DETAIL ANY DEFECTS FOM ABOVE

FORK DEFECT NOTES

TYRE DEFECT NOTES

HAVE ANY DEFECTS / PROBLEMS BEEN RECTIFIED

ISSUES REPORTED TO:

NOTES / ISSUES

VAN INSPECTION DEFECT REPORT

This form is available to complete and submit in accordance with Dash Components Health & Safety Policy.

FORKLIFT SAFETY CHECKLIST

This form is available to complete and submit in accordance with Dash Components Health & Safety Policy.

WEEKLY RACKING INSPECTION FORM

This form is available to complete and submit in accordance with Dash Components Health & Safety Policy.

Protect Your Colleagues and Follow the Rules

The rules have been implemented for you and your colleagues safety – follow them and keep our workforce safe.