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Thorough examination of forklift truck per LOLER 1998 Regulation 9.
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Examination Items
Mark the applicable column for each item: P = Pass | F = Fail | N/A = Not applicable. Record notes for any F.
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Mast, Chains & Forks | |||||
| 1 | Mast channels free from excessive wear, cracks or distortion | ||||
| 2 | Lift chains in good condition, equally tensioned and free of corrosion | ||||
| 3 | Chain anchor pins and retainers secure and undamaged | ||||
| 4 | Forks free from cracks, wear exceeding 10% and heel section damage | ||||
| 5 | Fork locking pins present and engaging correctly | ||||
| 6 | Backrest extension fitted, secure and undamaged | ||||
| Hydraulic System | |||||
| 7 | Hydraulic hoses and fittings free from leaks, chafing and damage | ||||
| 8 | Lift and tilt cylinders operating smoothly without drift | ||||
| 9 | Hydraulic fluid level adequate, no contamination visible | ||||
| 10 | Lowering control valve functioning correctly (load does not drop uncontrolled) | ||||
| Safety Devices | |||||
| 11 | Overhead guard intact, secure and free from damage or corrosion | ||||
| 12 | Seatbelt or operator restraint fitted, functional and undamaged | ||||
| 13 | Horn, reversing alarm and warning lights operational | ||||
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Load Rating Plate & Markings | |||||
| 14 | Load rating plate clearly visible, legible and securely attached | ||||
| 15 | Rated capacity matches attachments fitted (if applicable) | ||||
| 16 | CE marking and serial number plate present and legible | ||||
| Tyres & Wheels | |||||
| 17 | Tyres free from cuts, chunking and excessive wear | ||||
| 18 | Wheel nuts tight and wheels free from cracks or damage | ||||
| 19 | Pneumatic tyres inflated to correct pressure (if applicable) | ||||
| Operator Controls & General Condition | |||||
| 20 | Steering responsive, free play within manufacturer limits | ||||
| 21 | Brakes (service and parking) effective and correctly adjusted | ||||
| 22 | Control levers clearly marked, returning to neutral when released | ||||
| 23 | Dead man's switch / seat switch functional (if fitted) | ||||
| 24 | Chassis and counterweight free from cracks, corrosion or structural damage | ||||
| 25 | Battery secured, terminals protected, electrolyte level adequate (electric trucks) | ||||
Defects & Corrective Actions (list any item marked F: reference item # from examination)
| Item # | Defect description | Corrective action / reported to | Rectified by / date |
|---|---|---|---|
Declaration
I, as a competent person within the meaning of LOLER 1998 Regulation 9, declare that I have carried out a thorough examination of the above lifting equipment. The findings recorded above are a true and accurate account of the condition of the equipment at the time of examination. Any defects presenting an existing or imminent danger have been reported to the duty holder immediately.