Forklift Inspection Form 4070 Question Title * 1. Lift # Question Title * 2. Inspector Name Question Title * 3. Job Name Question Title * 4. Week Beginning Date Each forklift will be operationally tested and visually inspected on a regular basis. The designated inspector will place a check in the appropriate box when an item passes inspection. Leave the box empty and note a brief description of any problem. Immediately notify the Foreman of any forklift deficiencies. Question Title * 5. Operating Controls (Operational) Mon Tues Wed Thurs Fri Sat Sun Emergency Stop & Brakes Emergency Stop & Brakes Mon Emergency Stop & Brakes Tues Emergency Stop & Brakes Wed Emergency Stop & Brakes Thurs Emergency Stop & Brakes Fri Emergency Stop & Brakes Sat Emergency Stop & Brakes Sun Operation Levers & Controls Operation Levers & Controls Mon Operation Levers & Controls Tues Operation Levers & Controls Wed Operation Levers & Controls Thurs Operation Levers & Controls Fri Operation Levers & Controls Sat Operation Levers & Controls Sun Foot Controls (if applicable) Foot Controls (if applicable) Mon Foot Controls (if applicable) Tues Foot Controls (if applicable) Wed Foot Controls (if applicable) Thurs Foot Controls (if applicable) Fri Foot Controls (if applicable) Sat Foot Controls (if applicable) Sun Safety Signs & Load Charts Safety Signs & Load Charts Mon Safety Signs & Load Charts Tues Safety Signs & Load Charts Wed Safety Signs & Load Charts Thurs Safety Signs & Load Charts Fri Safety Signs & Load Charts Sat Safety Signs & Load Charts Sun If any maintenance issues, please detail Question Title * 6. Boom & Forks Mon Tues Wed Thurs Fri Sat Sun Hydraulic Leaks Hydraulic Leaks Mon Hydraulic Leaks Tues Hydraulic Leaks Wed Hydraulic Leaks Thurs Hydraulic Leaks Fri Hydraulic Leaks Sat Hydraulic Leaks Sun Extension Cylinders & Chains Extension Cylinders & Chains Mon Extension Cylinders & Chains Tues Extension Cylinders & Chains Wed Extension Cylinders & Chains Thurs Extension Cylinders & Chains Fri Extension Cylinders & Chains Sat Extension Cylinders & Chains Sun Pivot Pins Pivot Pins Mon Pivot Pins Tues Pivot Pins Wed Pivot Pins Thurs Pivot Pins Fri Pivot Pins Sat Pivot Pins Sun Electrical Lines Electrical Lines Mon Electrical Lines Tues Electrical Lines Wed Electrical Lines Thurs Electrical Lines Fri Electrical Lines Sat Electrical Lines Sun Vert. Mast Sliding & Rolling Parts Vert. Mast Sliding & Rolling Parts Mon Vert. Mast Sliding & Rolling Parts Tues Vert. Mast Sliding & Rolling Parts Wed Vert. Mast Sliding & Rolling Parts Thurs Vert. Mast Sliding & Rolling Parts Fri Vert. Mast Sliding & Rolling Parts Sat Vert. Mast Sliding & Rolling Parts Sun If any maintenance issues, please detail Question Title * 7. Base (Visual) Mon Tues Wed Thurs Fri Sat Sun Broken, Cracked or Loose parts Broken, Cracked or Loose parts Mon Broken, Cracked or Loose parts Tues Broken, Cracked or Loose parts Wed Broken, Cracked or Loose parts Thurs Broken, Cracked or Loose parts Fri Broken, Cracked or Loose parts Sat Broken, Cracked or Loose parts Sun Lights, Mirrors & Windows Clean Lights, Mirrors & Windows Clean Mon Lights, Mirrors & Windows Clean Tues Lights, Mirrors & Windows Clean Wed Lights, Mirrors & Windows Clean Thurs Lights, Mirrors & Windows Clean Fri Lights, Mirrors & Windows Clean Sat Lights, Mirrors & Windows Clean Sun Seat Belts/Mount Seat Belts/Mount Mon Seat Belts/Mount Tues Seat Belts/Mount Wed Seat Belts/Mount Thurs Seat Belts/Mount Fri Seat Belts/Mount Sat Seat Belts/Mount Sun Tires & Outriggers Tires & Outriggers Mon Tires & Outriggers Tues Tires & Outriggers Wed Tires & Outriggers Thurs Tires & Outriggers Fri Tires & Outriggers Sat Tires & Outriggers Sun Back Up Alarm, Horn & Manual Back Up Alarm, Horn & Manual Mon Back Up Alarm, Horn & Manual Tues Back Up Alarm, Horn & Manual Wed Back Up Alarm, Horn & Manual Thurs Back Up Alarm, Horn & Manual Fri Back Up Alarm, Horn & Manual Sat Back Up Alarm, Horn & Manual Sun If any maintenance issues, please detail Question Title * 8. Engine Compartment (Visual) Mon Tues Wed Thurs Fri Sat Sun Oil Level Oil Level Mon Oil Level Tues Oil Level Wed Oil Level Thurs Oil Level Fri Oil Level Sat Oil Level Sun Fuel Level Fuel Level Mon Fuel Level Tues Fuel Level Wed Fuel Level Thurs Fuel Level Fri Fuel Level Sat Fuel Level Sun Belt, Hose & Motor Condition Belt, Hose & Motor Condition Mon Belt, Hose & Motor Condition Tues Belt, Hose & Motor Condition Wed Belt, Hose & Motor Condition Thurs Belt, Hose & Motor Condition Fri Belt, Hose & Motor Condition Sat Belt, Hose & Motor Condition Sun Battery & Electrical Battery & Electrical Mon Battery & Electrical Tues Battery & Electrical Wed Battery & Electrical Thurs Battery & Electrical Fri Battery & Electrical Sat Battery & Electrical Sun If any maintenance issues, please detail Question Title * 9. Any additional comments? Question Title * 10. Please upload a photo if there are any issues with the forklift PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a photo if there are any issues with the forklift Question Title * 11. Please upload a second photo if needed PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a second photo if needed Done
