DAILY FORKLIFT INSPECTION CHECKLIST - George Mason University
DAILY FORKLIFT INSPECTION CHECKLIST
For recordkeeping purposes, maintain this form on file when inspection has been completed.
Forklift Manufacturer:
Forklift Model, Type, Year:
Items to be Inspected Tires Horn Lights Battery Controls and gear shifts Lift system (includes load limit switches, load engagement means, chains, cables, forks, etc.) Brake and radiator fluid level Steering Hydraulic system (for leaks) Fuel system (for leaks) Overhead guards (for damage) Gauges Capacity plates attached Operator's manual present Seat belt Propane tank (Is it locked down in propane powered forklifts?) Propane tank free of rust, corrosion or damage Engine oil Transmission fluid Name plates, labels, and markings (in place and maintained in legible condition) Exhaust system (for sparks, flames) Is forklift clean, free of trash, excess oil and grease?
Satisfactory Condition
Date:
Inspected By:
Defective
Date Corrected (if defective) ___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___
___/___/___
___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___
___/___/___
___/___/___
___/___/___ ___/___/___
___/___/___
___/___/___ ___/___/___
List specific and any additional problems found with the forklift 1. 2. 3. 4. 5.
Date Corrected ___/___/___ ___/___/___ ___/___/___ ___/___/___ ___/___/___
Work Order Number for Deficiencies: ______________
EHS | Phone: 703.993.8448 | Fax: 703.993.8389 | safety@gmu.edu | Last Updated: 04/2014
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