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Attachment 1

Lift: Driver:

Inspector: Month:

Instruction: Each forklift will be operationally tested and visually inspected each month. The designated inspector will place a () in the appropriate box when an item passes inspection. Leave the box empty and note a brief description of any problem. Immediately notify the Foreman of any aerial lift deficiencies. The Foremen will forward this inspection form to the Safety Dept. at the end of each month. Operating Controls Yes No Note (Operational) The brake does not grip Emergency Stop & Brakes Operation Levers & Controls Foot Controls (if applicable) Safety Signs & Load Charts Boom & Forks Hydraulic Leaks Extension Cylinders & Chains Engine Oil Leaks Electrical Lines Vert. Mast Sliding & Rolling Parts. Base (Visual) Broken, Cracked or Loose Parts Lights, Mirrors & Windows Clean Seat Belt & Its Mounts Tires & Outriggers Alarm, Horn & Manual Engine Compartment (Visual) Oil Level Fuel Level Belt, Hose & Motor Condition Battery & Electrical Beacon lamp and mirror are broken No seat belt and ripped seat Worn out forklift tires Reverse alarm not working screw on oil relieved are damaged

Addition Notes:_____________________________________________________

Dept. Foreman Signature:

Date:

Based on the attachment 1, there are some list of damage from the forklift :

No. 1.

Parts Emergency Stop & Brakes

Effect Malfunction of the brakes can result 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 reversing forklift Damage of beacon lamp can caused workers around unaware about operation of forklift.

3.

Alarm, Horn & Manual

Reverse alarm not working can cause accident because workers unaware while reversing forklift

No. Parts 4. Oil Leaks

Effect A leak can be a sign of future engine system failure. This failure will cause a loss of control of the lift and its weight. This can prove devastating for the employees in its course. 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 a flame. 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 debris on the floor. The damaged tires will contribute to the greater vibration of the forklift, 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 on harder surfaces, which can make the driver lose control or cause the load to become unstable.

No. 6.

Parts Seat Belt & Its Mounts

Effect The loss of the seats cushion and support creates an uncomfortable ride with exposed wires, increased heat and excessive vibration. A damaged forklift seat may also pose a larger problem if the seat belt doesnt work. As the shift goes on, operators become sore and irritated which then decreases his or her productivity.

Improvement Based on the maintenance checklist, there is some damage that have on forklift. Among the 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 or stuff. 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 officers may 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 working can cause accident because workers unaware while reversing forklift. So, for this case, the reverse alarm should change to the new one. Other thats, 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 progression of 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 to know 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 work where surface are smooth. Lastly, seat belt doesnt work and ripped seat also a larger problem that can bring harm to the driver. The loss of the seats cushion and support creates an uncomfortable ride with exposed wires, 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, a restraint 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 about any 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.

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