Checklist Information Complete this checklist at the beginning of each shift or before operating (if used infrequently) to ensure safe operation of the forklift.Inspector's Name(Required) SNL Email Address(Required) Date/Time Test(Required) Vehicle ID(Required)If you are borrowing a forklift, please include the vehicle ID in the loaner field. FD182 FD306 FD307 FD308 FD311 FE0457 FP051 FP081 TH1052 TH1103 TH1601 TH1603 TH1604 XH360L Loaner Loaner Vehicle ID Visual Check ItemsDetermine if each item is present, operational, undamaged and without defect. For those items found to be missing or defective, provide comments below. If the item is not present or does not apply, select “N/A”. Is visual/operational items acceptable?1. Data Plate Yes No N/A 2. Lift Capacity Yes No N/A 3. Windows/Mirrors Yes No N/A 4. Door Latches Yes No N/A 5. Gauges and Instruments Yes No N/A 6. Lug Nuts/Rims Yes No N/A 7. Tires Yes No N/A 8. Battery/Cables Yes No N/A 9. Warning and Safety Devices(including the ground strap for Type EE, EX Forklifts.) Yes No N/A 10. Overhead Guard/Cab Yes No N/A 11. Leaks Yes No N/A 12. Ensure propane hose connector is securely fastened. Yes No N/A Operational Check Items13. Open propane valve; check for leaks Yes No N/A 14. Horn/Lights Yes No N/A 15. Wipers/Blades Yes No N/A 16. Forks Yes No N/A 17. Hand Brake Yes No N/A 18. Steering Yes No N/A 19. Brake Pedal Yes No N/A 20. Lift and Tilt Yes No N/A 21. Exhaust System Yes No N/A 22. Lift Chain on Mast Yes No N/A 23. Control Linkage/Safety Switches Yes No N/A 24. Check for Suspect/Counterfeit Parts Yes No N/A Comments:For any item found to be not present, inoperable, damaged, or defective, indicate below the specific information and what was done to mitigate the issue. Do you have any inspection images to upload? Yes No Please upload any inspection images here. Drop files here or Select files Max. file size: 400 MB. If a suspect/counterfeit item is discovered, contact sqasci@sandia.govCAPTCHAEmailThis field is for validation purposes and should be left unchanged.
