Forklift Operators Daily Form

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FORKLIFT OPERATORS DAILY CHECKLIST
FORKLIFT INSPECTION
(COMPLETE BEFORE THE START OF EACH SHIFT)
Month ____________________ Year _____
FORKLIFT Make:
___________________
Model: ____________________
Location: ________________________________________________________
(Check any defective item with an x and give details)
Day
Operator
Day
Operator
1
________________________
16
__________________________
WALK AROUND
2
________________________
17
__________________________
__STRUCTURE, (cleanliness, physical condition, window, mirrors) ___________
3
________________________
18
__________________________
__ TIRES, (lug nuts, cuts, gouges, pressure) ____________________________
4
________________________
19
__________________________
__ FORKS / BACKREST, (bent, cracked, pins) ___________________________
5
________________________
20
__________________________
__ BOOM / MAST, (broken welds, rollers, chains) ________________________
6
________________________
21
__________________________
__ BATTERY (corroded cables, fluid level) ______________________________
7
________________________
22
__________________________
__HYDRAULIC HOSES AND CYLINDERS, (leaks / wear) __________________
8
________________________
23
__________________________
__FIRE EXTINGUISHER ____________________________________________
9
________________________
24
__________________________
__CAPACITY NAME PLATE _________________________________________
10
________________________
25
__________________________
__ OVERHEAD GUARD, (welds, bolts) _________________________________
11
________________________
26
__________________________
__FLUIDS, (levels, hoses, leaks)
12
________________________
27
__________________________
Fuel, Coolant, Hydraulic, Brake, Transmission, ________________________
13
________________________
28
__________________________
14
________________________
29
__________________________
CAB / START ENGINE
15
________________________
30
__________________________
__ GAUGES, (hour meter, fuel, oil pressure) ____________________________
31
__________________________
__ ACCELERATOR, (sticking)________________________________________
Any additional comments concerning the operation of the forklift:
__ LIGHTS, (head, tail, warning, back-up) _______________________________
______________________________________________________________
__ SEAT BELT ____________________________________________________
______________________________________________________________
__ HORN ________________________________________________________
______________________________________________________________
__ BACK-UP ALARM _______________________________________________
______________________________________________________________
__BRAKES – PARKING AND SERVICE, (holding) ________________________
______________________________________________________________
__SWAY CONTROLS / LEVELERS / OUTRIGGERS, (operable) ____________
______________________________________________________________
__ HYDRAULIC CONTROLS, (lift, tilt, extend) ___________________________
______________________________________________________________
__ STEERING, (excessive play) ______________________________________
______________________________________________________________
__ UNUSUAL NOISE _______________________________________________
Note: Defects found must be repaired prior to use. If equipment fails
__ OTHER (propane connection / hoses if applicable) _____________________
inspection notify your supervisor immediately. Store this inspection form
in the equipment until end of month, and then file in project office. If
Details of problem marked above: ___________________________________
equipment fails, fill out appropriate repair forms.
________________________________________________________________
Davis Constructors Forklift Daily Inspection Log
Davis Constructors Forklift Daily Inspection Log

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