Manufacturing / Industrial • Inspections

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

Prior to performing this maintenance task, the areas that may be impacted unintentionally by the maintenance activities were inspected to assure no Partner’s safety is at risk and no customer product or Cintas equipment would be compromised, contaminated, or otherwise damaged due to this specific task. Any product that may be impacted was moved and / or otherwise isolated to assure protection.

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

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Inspector's Signature

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Food Safety Post-Check

After performing this maintenance task, a review of all applicable areas that may have been impacted was conducted to assure there are no residual risks to Partner safety remaining. Also, a review of all applicable areas to ensure that no customer products were inadvertently compromised, contaminated, or otherwise damaged was conducted. If any conditions were observed indicating that any of the previous concerns have been negatively impacted, the issue was escalated to leadership.

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

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