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HSE Forklift Inspection Checklist

Pre-use forklift inspection per HSE LOLER and PUWER requirements

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PAGE 1 OF 2

Forklift & Operator Details

Inspection Items

Mark the applicable column: P = Pass | F = Fail | N/A = Not applicable. Record notes for any F.

# Check P F N/A Notes / Action
Pre-Use Visual Checks
1General condition: clean, no visible damage or modifications
2No fluid leaks under truck (oil, coolant, hydraulic, fuel)
3Data plate legible and rating clearly visible
Tyres and Wheels
4Tyres free from cuts, chunks and excessive wear
5Tyre pressure within specification (pneumatic tyres)
6Wheel nuts tight and all present
Mast and Forks
7Forks free from cracks, bends and excessive wear
8Fork locking pins present and secure
9Mast chains lubricated and free from damage
10Mast rollers operate smoothly without binding
11Backrest extension secure and undamaged
Hydraulics
12Hydraulic fluid level within operating range
13Hydraulic hoses free from abrasion, bulging and leaks
14Lift and tilt cylinders free from drift under load
HSE Forklift Inspection - Page 2 of 2
Asset ID
Date
Operator
# Check P F N/A Notes / Action
Controls and Instruments
15Service brake stops truck within normal distance
16Parking brake holds on incline
17Steering responds smoothly in both directions
18Gauges and warning lights functioning correctly
19Mast raises, lowers and tilts without hesitation
Safety Devices
20Horn operates correctly
21Reversing alarm / beeper functional
22Headlights, tail lights and warning beacon working
23Overhead guard secure and undamaged
24Seatbelt / operator restraint present and functional
Operational Test
25No abnormal engine noise, vibration or exhaust smoke
26Forward and reverse travel smooth with no unusual sounds
Overall Result
PASS: all items satisfactory, forklift fit for use FAIL: defect(s) identified, see table below

Defects & Action Required  (list any item marked F: reference item # from checklist)

Item # Defect description Action taken / reported to Rectified by / date

Declaration

I declare that I have completed this forklift pre-use inspection. I have reported any defects or non-compliant items to my supervisor and will not use this forklift until any defects that affect safety have been rectified. I understand that failure to complete a pre-use check or to report defects may breach company policy and HSE obligations.

Operator Sign-off
Signature
Print name
Date & time
Supervisor / Reviewer Acknowledgement
Signature
Print name
Date