Checklist Information Pre-Use Inspection Checklist for Forklifts and Telehandlers 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 Submission Type(Required) Forklift Telehandler Forklift – Visual Check ItemsPerform a visual and operational inspection of the following items for the telehandler and the work area. Mark whether the item is acceptable or deficient. If the item is not applicable, select “N/A”.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 13. Check for Suspect/Counterfeit Parts Yes No N/A Forklift – Operational Check Items14. Open propane valve; check for leaks Yes No N/A 15. Horn/Lights Yes No N/A 16. Wipers/Blades Yes No N/A 17. Forks Yes No N/A 18. Hand Brake Yes No N/A 19. Steering Yes No N/A 20. Brake Pedal Yes No N/A 21. Lift and Tilt Yes No N/A 22. Exhaust System Yes No N/A 23. Lift Chain on Mast Yes No N/A 24. Control Linkage/Safety Switches Yes No N/A 25. Seat Belt Operability Yes No N/A Telehandler – Power OFF ChecksPerform a visual and operational inspection of the following items for the telehandler and the work area. Mark whether the item is acceptable or deficient. If the item is not applicable, select “N/A”.1. Wheels, Tires OK DEFECT N/A 2. Mirrors, Lights, Strobes OK DEFECT N/A 3. Engine Compartment/Battery(i.e., cover panels, debris, belts/hoses, battery secure, etc.) OK DEFECT N/A 4. Fluids(levels or leaks) OK DEFECT N/A 5. Load Charts/Data Plate(legible) OK DEFECT N/A 6. Windows, Doors OK DEFECT N/A 7. ROPS, Cab OK DEFECT N/A 8. Carriage, Attachments, Forks OK DEFECT N/A 9. Boom Angle Indicator OK DEFECT N/A 10. Counterweight OK DEFECT N/A 11. Outriggers OK DEFECT N/A 12. Air Filter Indicator OK DEFECT N/A 13. Seat Belt OK DEFECT N/A Telehandler – Power ON Checks1. Unit Starts and Runs Properly OK DEFECT N/A 2. Warning Lights, Audible Alarms OK DEFECT N/A 3. Fuel Level OK DEFECT N/A 4. Instruments, Gauges OK DEFECT N/A 5. Horn, Audible Warning Devices OK DEFECT N/A 6. Lights, Strobes OK DEFECT N/A 7a. Functional Check: Forward and Reverse OK DEFECT N/A 7b. Functional Check: Steering(front, all, crab) OK DEFECT N/A 7c. Functional Check: Brake, Parking Brake OK DEFECT N/A 7d. Functional Check: Carriage(tilt, side shift) OK DEFECT N/A 7e. Functional Check: Boom, Wear Pads(out/in/up/down) OK DEFECT N/A 7f. Functional Check: Cab Tilt, Frame Level Indicator OK DEFECT N/A 7g. Functional Check: Outriggers OK DEFECT N/A 7h. Functional Check: Safety Interlock Device(s) OK DEFECT N/A Telehandler – General1. Housekeeping in Cab OK DEFECT N/A 2. Decals, Warnings OK DEFECT N/A 3. Manufacturer's Operating Manual OK DEFECT N/A 4. Control Markings OK DEFECT N/A 5. Fire Extinguisher OK DEFECT N/A Telehandler – Workplace Inspection1. Drop-offs, Holes OK DEFECT N/A 2. Bumps, Slopes OK DEFECT N/A 3. Obstructions OK DEFECT N/A 4. Housekeeping OK DEFECT N/A 5. Overhead Hazards OK DEFECT N/A 6. Electrical Powerlines OK DEFECT N/A 7. Hazardous Locations OK DEFECT N/A 8. Surface Support OK DEFECT N/A 9. Vehicle Traffic OK DEFECT N/A 10. Pedestrian Traffic OK DEFECT N/A 11. Weather/Wind Hazards OK DEFECT N/A Telehandler – Inspection ResultsInspection Results Passed (Ok for use) Failed (Removed, tagged, destroyed) Comments and Image UploadComments: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.govCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
