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Operating Area…
Kenai Peninsula
North Slope
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Forklift Pre-Shift Inspection
Powered Industrial Truck Daily Inspection
OSHA 1910.178 REQUIRED
📋
Inspection Information
Date
*
Shift
*
Select Shift...
Day Shift
Night Shift
District / Base
*
Select District / Base...
Kenai
CIO
Kuparuk
Alpine
Willow
Pikka
Badami
Point Thomson
Endicott
Northstar Island
Prudhoe Bay East
Prudhoe Bay West
Deadhorse
Shop / Yard
In Transit
Other
Operator Name
*
Forklift ID / Unit #
*
Forklift Type
*
Select Type...
Warehouse Forklift
Rough Terrain Forklift
Telehandler
Pallet Jack (Powered)
Order Picker
Reach Truck
Side Loader
Other
Fuel/Power Type
*
Select...
Electric (Battery)
Propane (LP)
Diesel
Gasoline
Dual Fuel
Hour Meter
*
Make
Model
Serial Number
🔍
Pre-Operation Inspection
👁️ Visual Check
Pending
✓
General cleanliness acceptable
✓
No visible damage to body/frame
✓
Data plate readable
✓
Capacity plate visible
✓
Overhead guard secure
✓
No fluid leaks under unit
✓ PASS
✗ DEFECTS
🛢️ Fluids & Power
Pending
✓
Engine oil level adequate
✓
Hydraulic fluid level adequate
✓
Coolant level adequate (IC engines)
✓
Fuel level adequate
✓
No visible leaks
✓ PASS
✗ DEFECTS
🛞 Tires & Wheels
Pending
✓
Tire condition acceptable
✓
Tire inflation/wear adequate
✓
No cuts, chunks, or damage
✓
Wheel lugs tight
✓
No missing hardware
✓ PASS
✗ DEFECTS
🍴 Forks & Carriage
Pending
✓
Forks not bent or cracked
✓
Fork tips not worn excessively
✓
Fork heel not worn >10%
✓
Positioning latch works
✓
Backrest extension secure
✓ PASS
✗ DEFECTS
⬆️ Mast & Lift System
Pending
✓
Mast channels not bent/cracked
✓
Lift chains lubricated
✓
Chain tension equal both sides
✓
Lift/lower operates smoothly
✓
Tilt operates smoothly
✓
No hydraulic leaks at cylinders
✓ PASS
✗ DEFECTS
🎮 Controls & Operation
Pending
✓
Steering responds properly
✓
All controls labeled
✓
Controls return to neutral
✓
Horn works
✓
Lights work (if equipped)
✓
Backup alarm works
✓ PASS
✗ DEFECTS
🛑 Brakes
Pending
✓
Service brake stops unit
✓
Parking brake holds on incline
✓
Brake pedal feel normal
✓
No excessive pedal travel
✓
Inching/plugging works (if equipped)
✓ PASS
✗ DEFECTS
⚠️ Safety Devices
Pending
✓
Seat belt functional
✓
Operator presence system works
✓
Warning lights functional
✓
Fire extinguisher present/charged
✓
Mirrors in place (if equipped)
✓ PASS
✗ DEFECTS
🔋 Battery / Propane
Pending
✓
Battery charge adequate
✓
Battery connections tight
✓
No corrosion on terminals
✓
Propane tank secured (if LP)
✓
No propane smell/leaks
✓
Tank valve accessible
✓ PASS
✗ DEFECTS
Complete all sections above to see overall status
✅
Certification & Actions
Additional Defects/Damage Description
Corrective Actions Required
Safe to Operate?
*
Yes
No
Supervisor Notified?
*
Yes
No
N/A
Lockout/Tagout Applied?
*
Yes
No
Operator Signature (Type Full Name)
*
Additional Comments
✅ Submit Forklift Inspection
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