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Forklift Operator Daily Per-Shift Safety Inspection Procedure

Follow this pre-shift safety inspection which leads to a safer working environment and prevents costly repairs in the future.
24P DC Columbus - Cintas
08/22/2024

Forklift Operator Daily Per-Shift Safety Inspection Procedure

Follow this pre-shift safety inspection which leads to a safer working environment and prevents costly repairs in the future.

    *** LOTO Confirmation Statement - DO NOT EDIT/REMOVE ***

    All hazardous energy has been isolated using LOTO procedures?

    All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or otherwise rendered safe?

    Lock Out Tag Out

    LOTO Performed

    Food Safety Pre-Check

    Engine Oil Level

    • Pass
    • Flag
    • Fail

    Coolant Level

    • Pass
    • Flag
    • Fail

    Air Filters (Weekly)

    • Pass
    • Flag
    • Fail

    L.P. Gas Odor

    • Pass
    • Flag
    • Fail

    Cylinder Connections/Bracket

    • Pass
    • Flag
    • Fail

    Tires (Cracks - Chunks Missing)

    • Pass
    • Flag
    • Fail

    Radiator (Check and Clean Weekly)

    • Pass
    • Flag
    • Fail

    Lights

    • Pass
    • Flag
    • Fail

    Horn

    • Pass
    • Flag
    • Fail

    Hoist Control

    • Pass
    • Flag
    • Fail

    Tilt Control

    • Pass
    • Flag
    • Fail

    Side Control

    • Pass
    • Flag
    • Fail

    Steering

    • Pass
    • Flag
    • Fail

    Foot Brakes

    • Pass
    • Flag
    • Fail

    Parking Brake

    • Pass
    • Flag
    • Fail

    Leaks (Hydraulic)

    • Pass
    • Flag
    • Fail

    OverHead Guard

    • Pass
    • Flag
    • Fail

    Load Backrest

    • Pass
    • Flag
    • Fail

    Attachments (Forks)

    • Pass
    • Flag
    • Fail

    Seatbelt

    • Pass
    • Flag
    • Fail

    Backup Alarm

    • Pass
    • Flag
    • Fail

    Fire Extinguisher (5lb)

    • Pass
    • Flag
    • Fail

    The Forklift will be taken out of service if any mechanical or structural item on the above checklist is found to be unacceptable. Once corrected, the Forklift can be operated.

    • Pass
    • Flag
    • Fail

    Comments

    Inspector's Signature

    Click here to sign

    Food Safety Post-Check

Source: 24P DC Columbus - Cintas (Community Member)

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