Forklift Daily Checklist (See ES&H Manual Chapter 6145 Appendix T3 Inspection and Maintenance Requirements – Forklifts and Attachments)

DIESEL/PROPANE Forklift Daily Check List		ELECTRIC Forklift Daily Check List
	Date		Date
1. Operator’s Manual Is Available In Seat Pocket		1. Operator’s Manual Is Available In Seat Pocket
Current: (These Are Done Monthly By A Mechanic)		Current: (These Are Done Monthly By A Mechanic)
2. Transmission Fluid		2. Battery Levels
3. Engine Oil Level		3. Hydraulic Fluid
4. Hydraulic Fluid		4. Brake Fluid
5. Battery Level		Visual Checks:
6. Brake Fluid		5. Fire Extinguisher – Charged, Secure
Visual Checks:		6. Tire – No Flats, Cuts, or Other Damage
7. Fire Extinguisher – Charged, Secure		7. Leaks - Hydraulic, Engine, Battery Fluid
8. Tire – No Flats, Cuts, or Other Damage		8. Load Back Rest - Not Bent or Loose
9. Leaks - Hydraulic, Engine, Battery Fluid		9. Exterior - Overall Condition - Good
10. Load Back Rest - Not Bent or Loose		Operational Checks:
11. Exterior - Overall Condition - Good		10. Horn - Functional
Operational Checks:		11. Lights (Including Warning Lights) - Operational
12. Horn - Functional		12. Seat Belt - Buckle and Retractor - Functioning Securely
13. Lights Including Warning Lights - Operational		13. Controls – Tilt, Hoist, Shift - Smooth, No Hesitation
14. Seat Belt, Buckle And Retractor - Functioning Securely		14. Fuel Level – Adequate for the Task
15. Controls – Tilt, Hoist, Shift - Smooth, No Hesitation		Drive Controls:
16. Fuel Level – Adequate for the Task		15. Steering, – Functioning Smoothly
Drive Controls:		16. Gearing - Forward and Reverse
17. Steering, – Functioning Smoothly		17. Brakes - Functioning Smoothly
18. Gearing - Forward and Reverse		18. Back Up Alarm - Operational
19. Brakes - Functioning Smoothly		19. Parking Brake - Functioning Smoothly
20. Back Up Alarm - Operational		20. Emergency Shut Off – When Seat is Unoccupied
21. Parking Brake - Functioning Smoothly
22. Emergency Shut Off – When Seat is Unoccupied
If any item does NOT pass with an OK do not use the forklift Report deficiency to Facilities Management - Call ext. 7400		If any item does NOT pass with an OK do not use the forklift Report deficiency to Facilities Management - Call ext. 7400

Form Revision Summary

Revision 1.1 - 03/27/13 – Reorganized checklist for efficiency.

Revision 1.0 04/12/10 - Updated to reflect current laboratory operations.

Revision 0 - 10/05/09 – Initial Version

ISSUING AUTHORITY	FORM TECHNICAL POINT-OF-CONTACT	APPROVAL DATE	REVIEW REQUIRED DATE	REV.
ESH&Q Division	Dave Kausch	04/12/10	04/12/16	1.1

This document is controlled as an on line file. It may be printed but the print copy is not a controlled document. It is the user’s responsibility to ensure that the document is the same revision as the current on line file. This copy was printed on 3/29/2013.