7/24/2019 3. Forklift - Safety Check Sheet

1/1

Safety Evaluation Sheet for Forklift

Supplier Name : ________________________________________

Topic Priority ItemCondition

OK NG

1. Safety Standard A 1.1 Provided training course and driving license to operator

Operator must pass training !ot" classroom and practical training

Operator "ave driving license# al$ays s"o$ $"ile operating %&asy to visual c"ec'(

)icense must indicate issue date and e*pire date

A 1.+ Provide repeated training course for operator every year

A 1., -ave fi* speed limited !ot" production area and outside# "ave visual sign

A 1. /rive !ac'$ard in case of material is "ig"er t"an driver0s vision

#$$& &A 1. )ift up material !y center gravity if can not set center gravity# must attac" t"e

material to "olding e2uipment !y rope or c"ain

(% $* &, .A

Pull "and !rea' 3 )o$er for' 3 Turn off engine 3 Ta'e 'ey off 3

4elease safety !elt

, 0

A 1.5 /o not stand on raised pallet# $al' or $or' under loaded

&*$ , A 1.6 1778 9asten safety !elt $"ile driving,2&3

A 1.: Pro"i!it ot"er operator to passenger on for'lift

&$ ,A 1.17 If driving t"ru t"e ;unction and corner must to give sound signal

,& , &.& # $,$&A 1.11 If driving on slope $ay not allo$ to use gear N %Neutral(

If $or'ing or par'ing on slope road must use c"oc' to support $"eel

3 ) #$, A 1.1+ Separation !et$een man and for'lift

* &),#) * +. PP& Standard A +.1 -ave clearly PP& standard# mention in anager

Patrol and C"ec' #,## 2& *#A .1.1 PP& of operator

#$$# $) 3 &$)## A .1.+ C"ec' operator driving license

#$ $ #$, )&A .1., Confirm daily c"ec' s"eet of operator

#$#$ 3 *# A .1. C"ec' par'ing condition

#$ A .1. 1778 9asten safety !elt $"ile driving

#$,2&3A

A .1.5 Give sound signal $"en driving pass ;unction or corner

#$ $,$& ,& , A .1.6 9or'lift must par' at t"e specific area after $or'ing time

A .+.1 PP& of operator

#$$# $) 3 &$)## A .+.+ C"ec' operator driving license

#$ $ #$, )&A .+., Confirm daily c"ec' s"eet of operator

#$#$ 3 *# A .+. C"ec' par'ing condition

#$ A .+. 1778 9asten safety !elt $"ile driving

#$,2&3A

A .+.5 Give sound signal $"en driving pass ;unction or corner

#$ $,$& ,& , A .+.6 9or'lift must par' at t"e specific area after $or'ing time

In case of NG please !e e*plaint"e reason and countermeasure

/ue/ate

6 $7)289: 06 #,# 0

6 # #& ;.* &

#$ ;,#3* ,