| QPI Forklift Number | QP22, Toyota, Gas |
|---|---|
| First Name | Chris |
| Last Name | Daymond |
| Date | 25/09/2023 |
| Time | 03:07 AM |
Audit Questions | |
| TYRES are free of excessive wear (above safety tyre line), damage or cracks. Intact with rim, and tight hub nuts where fitted. | Yes |
| FLUIDS are not leaking from hydraulic cylinders, battery and coolant including hoses under forklift. Hydraulic fluid and brake fluid is at the appropriate level. | Yes |
| OVERHEAD GUARD is in place, secure, and not bent, cracked or loose. | Yes |
| LOAD BACK REST EXTENSION is in place and not bent, cracked or loose. | Yes |
| FORKS are evenly spread with locking pins in place. Not bent, worn, or cracked. | Yes |
| MAST chains are level with no obstruction, hydraulic rams not pitted or leaking. No wear, damage, looseness or chain tension in forks and backrest. | Yes |
| ENGINE BAY is generally clean. | Yes |
| LOAD RATING PLATE is fitted and readable. Load rating is understood. | Yes |
| REVERSE WARNING ALARM and HORN are working and can be clearly heard. | Yes |
| LIGHTS & BEACON are working, with no dirt, damage, or cracks in lamps. All lights are aimed correctly. | Yes |
| MIRRORS are positioned correctly, clean with clear vision and no damage or broken glass. | Yes |
| STEERING is smooth and responsive free of excessive play. Wheel is not loose. | Yes |
| BRAKE PEDAL AND PARKING BRAKE work effectively and holds on an incline. | Yes |
| CONTROL LEVERS are labelled, not loose or binding and freely return to neutral. Lift, lower, tilt operates smoothly without excessive drift. | Yes |
| CONTROL PANEL is working and fault lights are not showing. | Yes |
| EMERGENCY STOP is identified as a red button and cuts the motor instantly. | Yes |
| SEAT BELT works as intended, is not damaged, oily or dirty. | Yes |
| SEAT is not damaged including tears, secure and properly adjusted. | Yes |
| OPERATOR’S MANUAL is located on the forklift and in readable condition. | No |
| Defect information: | No manaul |
| Image Proof |  |
| BATTERY CHARGE indicator is working, full green or 75% after raising forks, and electrolyte level adequate. Battery connections are tight, and cover is secure. | Yes |
| FORKLIFT CHARGER (if applicable) works properly and cables are not damaged. | N/A |
| GAS CYLINDER is sufficiently full and gas cylinder is not damaged. Check cylinder is secure. Check compliance plate visible and current. | Yes |
| ATTACHMENTS (if equipped) function and fitted correctly, with correctly inserted securing pins, and no unusual noises or damage. | N/A |
| Operator signature: |
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