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Qusahwira Field Development Phase Ii Project Project No. 14395 Forklift Checklist

This document contains a forklift checklist with items to verify for safety compliance before use. It includes checking for cleanliness, proper seat and restraints, operational instruments and controls, warning signs, and hydraulic and steering components. The plant owner must provide weekly checksheets and wear protective equipment. The operator must have a certificate of competence and maintenance must follow manufacturer specifications. This checklist certifies the forklift conforms to health and safety requirements and the operator will undergo training according to work method statements.

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Jayaprakasan Koyadan Koroth
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415 views1 page

Qusahwira Field Development Phase Ii Project Project No. 14395 Forklift Checklist

This document contains a forklift checklist with items to verify for safety compliance before use. It includes checking for cleanliness, proper seat and restraints, operational instruments and controls, warning signs, and hydraulic and steering components. The plant owner must provide weekly checksheets and wear protective equipment. The operator must have a certificate of competence and maintenance must follow manufacturer specifications. This checklist certifies the forklift conforms to health and safety requirements and the operator will undergo training according to work method statements.

Uploaded by

Jayaprakasan Koyadan Koroth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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QUSAHWIRA FIELD DEVELOPMENT PHASE II PROJECT

Project No. 14395


FORKLIFT CHECKLIST
Supplier Verification & Plant Details Verify Check WARNING DEVICES
Verify Check Horn
Plant Owner: Cleanliness Amber Flashing Beacon
Reversing Alarm
Seat Condition OK
Address:
Operator Restraint Provided
WARNING SIGNS (In Cabin)
City/Suburb: Instruments Operational & Labelled Verify Check
Levers / Controls Operational SEAT BELTS MUST BE WORN
Phone: Pedals in Good Condition
Verify Check
ROPS AS2294
Plant Make: DANGER – BEWARE OVERHEAD WIRES,
Windows / Wipers / Washers
PIPES and SERVICES
Rear View Mirrors
Plant Model: Operator Instruction
(available on plant)
Serial No.: Verify Check
Exhaust
Signature:
Verify Check
Date: Engine Guarding
Verify Check Hydraulics
Rams
Hoses
 Plant to conform to manufacturer’s specifications and HSE Regs.
 Plant Operator is to provide daily checksheets to Plant Group on Connections
a weekly basis (check for excessive wear,
 Where applicable, Personal Protective Equipment must be worn.
 Plant Log Book Detailing service history in accordance with
leaks and creep)
Manufacturer’s specifications should be written legibly in
English.
 Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

HSE Use Only Steering Verify Check

Unions
NOTE: Sign only when all items have been checked
Rods
Connections
Plant Check By:
Position:
Date: / / Instructions:
Note : Register if to be used on Public Roads Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HES Department

This is to certify that the plant being supplied conforms to the relevant HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE Legislative requirements and, to
register the plant onto the site. The operator will be required to participate in ongoing training and perform work in accordance with the relevant Work Method Statement. Should the plant be found to not conform to the above, then it will be prevented from
commencing work on the site until the non-compliance is rectified. HSE Management will not reimburse the Owner / Supplier / Contractor for any down / lost time so caused from the non-conformance.

This form does not remove any liability for the plant supplier to conform with the relevant HSE Legislation.

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