Forklift Inspection Form
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is this a Subcontractor or IWS employee/affiliate filling out the form
*
Yes
No
Operator
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First Name
Last Name
Project Name
*
Project Number
Email
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example@example.com
Equipment Name/#
Is This a Hand Written Inspection?
Yes
No
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of
Engine Off Checks
Rows
OK
Needs Repair
N/A
Leaks:
Tires:
Forks, Top Clip Retaining Pin and Heel:
Load Backrest:
Hydraulic Hoses, Mast Chains, Cables and Stops:
Overhead Guard:
Finger Guards:
Propane Tank (LP Gas Truck):
Safety Warnings:
Battery:
All Engine Belts:
Hydraulic Fluid Level:
Engine Oil Level:
Transmission Fluid Level:
Engine Air Cleaner:
Radiator Coolant:
Operator's Manual:
Nameplate:
Seat Belt:
Hood Latch:
Brake Fluid:
Equipment Deficiencies
Engine On Checks
Rows
OK
Needs Repair
N/A
Accelerator or Direction Control Pedal:
Service Brake:
Parking Brake:
Steering Operation:
Drive Control: Forward/Reverse –
Tilt Control: Forward and Back –
Hoist and Lowering Control:
Attachment Control:
Horn and Lights:
Gauges:
Equipment Deficiencies
Notes
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Should be Empty: