forklift daily checksheet.

2600SEG111 SAFETY STANDARD FOR THE USE OF FORKLIFTS APPENDIX C

DAILY FORKLIFT INSPECTION FORM VISUAL INSPECTION

1. 2. 3. 4. 5.

Tires/wheels/coating/air Tires/wheels/coating/air pressure All lights Warning devices Number of hours/mileage Indicator clocks

6. 7. 8. 9. 10. 11. 12. 13.

Damages to the bodywork Oil/fluids/fuel/water Oil/fluids/fuel/water leaks Engine oil level Coolant level Fuel level Hydraulic oil level Battery External lubrication points

Brand:

Capacity:

SAT

IN

N/ 

S

A

OPERATIONAL INSPECTION

SAT

14. Horn 15. Hydraulic steering 16. Break  17. Emergency break  18. Seguro de arranque en posición neutral 19. Fork inclination 20. Raising and lowering the fork  21. Hydraulic components 22. Fork status and lock  23. Safety belts 24. Transmission/Steering Transmission/Steering 25. Fire protection equipment 26. Reverse alarm

Identification:

Hours/Mileage: Hours/Mil eage:

Date:

Time:

Comments: Operator name and signature: Instructions:

Supervisor name and signature:

Mark all indicated lines. SAT = Satisfactory, U NS = Unsatisfactory, Unsatisfactory, applicable. In case you have any additional comment, use the back of this form..

N/A =

Not

Controlled document. Refer to the Intranet for the current version. Page 1 of 1 Effective Date: FEB-3-04 Original of FEB-3-04 Disclaimer: In case of conflict of this standard with the Spanish version, the Spanish version shall prevail.

IN S

N/A