Inspection Real
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Attachment 1
Lift: Inspector:
Driver: Month:
Instruction:
Each fork l i ft wi l l be operational ly tested and visually inspected each month. The designated inspector wi l l
place a ( ) in the appropr iate box when an item passes inspection. L eave the box empty and note a briefdescription of any problem. Immediately noti fy the Foreman of any aer ial li f t defi ciencies. The Foremen will
forward this inspection form to the Safety Dept. at the end of each month. Operating Controls
(Operational)Yes No Note
Emergency Stop & Brakes√ The brake does not grip
Operation Levers & Controls
Foot Controls (if applicable) √ Safety Signs & Load Charts
Boom & Forks
Hydraulic Leaks √
Extension Cylinders & Chains √
Engine Oil Leaks screw on oil relieved are damaged
Electrical Lines √
Vert. Mast Sliding & Rolling Parts.
Base
(Visual)
Broken, Cracked or Loose Parts √
Lights, Mirrors & Windows Clean √ Beacon lamp and mirror are broken
Seat Belt & It’s Mounts No seat belt and ripped seat
Tires & Outriggers √ Worn out forklift tires
Alarm, Horn & Manual √ Reverse alarm not working
Engine Compartment(Visual)
Oil Level √
Fuel Level √
Belt, Hose & Motor Condition
Battery & Electrical √
Addition Notes:_____________________________________________________
Dept. Foreman Signature: Date:
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Based on the attachment 1, there are some list of damage from the forklift :
No. Parts Effect
1. Emergency Stop & Brakes Malfunction of the brakes canresult in serious damage, injury
or death.
Brake pedal not has enough
resistance to create a safe
stopping distance.
2. Lights, Mirrors & Windows Clean
A broken mirror can cause
accidents while reversingforklift
Damage of beacon lamp cancaused workers around unaware
about operation of forklift.
3. Alarm, Horn & Manual
Reverse alarm not working can
cause accident because workersunaware while reversing forklift
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No. Parts Effect
4. Oil Leaks
A leak can be a sign of future engine
system failure. This failure willcause a loss of control of the lift and
its weight. This can provedevastating for the employees in itscourse. Oil on the floor is a hazard
for pedestrian and equipment traffic
Lift trucks pick up items such as
dust, dirt, paper and shrink wrap. If
these elements become soaked with
oil, a source of ignition can spark aflame. A lift truck fire produces
extensive damage and puts
employees and product at risk.5. Tires & Outriggers
The wear on the tires will not be
even and will cause the vehicle to
become unstable.
When the tires are low this means
that you run the risk of hitting a
dock plate or running into debrison the floor.
The damaged tires will contributeto the greater vibration of theforklift, which results in increased
driver fatigue and also wears out
the forklift faster.
The worn out tires will also be
more likely to shake and jolt onharder surfaces, which can make
the driver lose control or cause the
load to become unstable.
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No. Parts Effect
6. Seat Belt & It’s MountsThe loss of the seat’s cushion andsupport creates an uncomfortableride with exposed wires,
increased heat and excessivevibration.
A damaged forklift seat may also
pose a larger problem if the seat belt doesn’t work.
As the shift goes on, operators
become sore and irritated whichthen decreases his or her
productivity.
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Improvement
Based on the maintenance checklist, there is some damage that have on forklift. Amongthe first damage is the brakes do not grip. Before every work shift, forklift operator are required
to perform a pre-shift inspection. One item of focus is the brakes. Malfunction of the brakes can
result in serious damage, injury or death, making a regular inspection a must. Improvements to be made to the above problem is should changes with the new brakes pads and it is important the brake pedal does not fall to the floor and has enough resistance to create a safe stopping distance.
Moreover, a broken mirror can cause accidents while reversing forklift to workers orstuff. Therefore, the employer must perform inspection on every mirror wisely to avoid any
accident occur when reversing forklift. Besides that, damage of beacon lamp caused workers
around unaware about operation of forklift. Warning safety devices are considered a demand of
the environment in which the equipment operates. If an environment is loud, compliance officersmay suggest flashing beacon lamp. So, the beacon lamp should change to the new one or repair.
In addition, reverse alarm is important to employees around. Reverse alarm not workingcan cause accident because workers unaware while reversing forklift. So, for this case, the
reverse alarm should change to the new one. Other that’s, oil leaks occur on the forklift can
cause workers slipping and fall, excessive heat, fire hazard and system failure. Must have an
inspection toward machines especially the O-ring. It is because O-ring easy to damaged.Depending on the source of a lift truck oil leak, the repair can be expensive. Instead of a hose or
O-ring replacement, the issue may stem from the engine, transmission, pump, mast or control
valve. Consider lift truck oil leaks as warning signals. If not heeded, they can lead to progressionof the problem, expensive repairs and employee injury.
Besides that, worn out forklift tires can caused a serious damage to the employees and
stuff. Some forklift use only a specific tire, but if restrictions are not an issue, it is important toknow the best forklift tire options for your application. Cushion tires is most suitable for this
forklift because cushion tire have a tire that is made by bonding rubber to a metal base band.
Furthermore, cushion tire are designed for indoor use but can be taken outside for light workwhere surface are smooth.
Lastly, seat belt doesn’t work and ripped seat also a larger problem that can bring harm tothe driver. The loss of the seat’s cushion and support creates an uncomfortable ride with exposedwires, increased heat and excessive vibration. As the shift goes on, operators become sore and
irritated which then decreases his or her productivity. During an OSHA audit, a non-working seat
belt may result in a fine under the General Duty clause of 1910.178. More importantly, arestraint system can be a life-saver in an event of tip-over or the forklift being driven off a dock.
In conclusion, provisions of the Occupational Safety and Health Act 1994 requires every
employer to provide a communication channel to allow any employee to make a complaint aboutany matter prejudicial to the safety and health at work and reported the above incident to the
Department of Occupational Safety and Health Malaysia. In addition, employers should also
conduct investigations on any accident, near miss accident, dangerous occurrence, occupational poisoning or disease and the above mentioned complaints in their workplaces.