PHNSY Forklifts Inspection Checklist Form.pdf

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Attached to
Forklift Rental
Solicitation number
N32253-26-Q-0082
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This is a Material Handling Equipment (MHE) joint inspection checklist used by Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility (PHNSY&IMF) to assess the operational and safety condition of forklifts and similar equipment.

The checklist comprises 23 inspection items covering mechanical, safety, and operational components. Key inspection areas include: tires and rims for wear and damage; engine fluids and systems for leaks (oil, hydraulic, transmission, brake, and coolant); battery condition and cable integrity; fuel system integrity; engine noise assessment; lighting and horn functionality; hoist, tilt, and side-shift mechanisms; transmission and clutch operation; directional controls; brake system performance under load; operational gauges and meters (oil pressure, coolant temperature, fuel level, voltmeter/ammeter, and hour meter); fire extinguisher status and serviceability; operator restraint systems (seat belts); fork condition including blade straightness and load rating compliance; fork positioning locks and safety chains; overhead guard structural integrity; ground straps or conductive tires for hazardous material equipment classifications (EE and EX types); structural integrity of the forklift frame; and mandatory safety markings including safe working load, vehicle weight, operator controls labeling, manufacturer certification, and accredited laboratory (UL, FM) certification. The inspection requires final acceptance or rejection determination with signatures from the Contracting Officer Representative/Technical Point of Contact (COR/TPOC) and contractor, along with equipment serial or plate number and hour meter reading documentation.

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PHNSY&IMF Joint Inspection Checklist:

Serial or Plate#:____________________________ Hour Meter Reading:____________________

1. Tires and Rims. Visually inspect readily accessible areas of tires for excessive wear and damage.

Visually Inspect readily accessible areas of the rims for dents, bends, and cracks.

2. Engine Oil and Fluid Leaks. Visually check readily accessible areas for apparent engine oil, hydraulic, transmission and brake fluid leaks.

3. Radiator Coolant Leaks. Visually check readily accessible areas for apparent radiator coolant leaks.

4. Battery. Visually check accessible portions of the battery and the battery cables for apparent damage, cuts and abrasions. Visually verify that the accessible portion of cables appear to be free of corrosion, verdigris, arcing, pitting, exposed conductor material, and loose connections.

5. Fuel System. Visually inspect the visually accessible portions of fuel system area for any apparent leaks or any abnormal odors.

6. Unusual Engine Noises. Start engine, should any unusual noises be noted with the engine running, turn off Material Handling Equipment (MHE), reject and discontinue this check.

7. Lights. Check that the headlights, brake lights, and any other installed lights are working. All lights must operate properly.

8. Horn. Depress the horn push button to verify that the horn is operating properly.

9. Hoist. Raise and lower hoist to verify the hoist assembly and controls operate smoothly. Inspect all visually accessible hoses for cracked coverings or apparent leaks.

10. Tilt and Side Shift. Tilt forward and backward to verify the tilt operates smoothly. Operate side shift to verify the carriage moves immediately and smoothly to the left and the right. Inspect all visually accessible hoses for cracked coverings or apparent leaks.

11. Transmission/Clutch. Verify that the transmission/clutch operates smoothly with no unusual noises.

Verify that the parking brake is set and that no one is in front of or behind the MHE. A periodic check can be made by attempting to stall the engine with the directional control lever in either the forward or reverse position. If the engine starts, the MHE shall be rejected.

12. Directional Controls. Shift directional controls into forward, neutral and reverse directions to verify the MHE operates properly and smoothly.

13. Brake System Check. With the parking brake engaged, attempt to drive MHE forward by applying a moderate amount of power to the MHE and verify that it does not move. Visually inspect that no fluid is leaking from the brake system. Check the service brakes to verify they stop the MHE smoothly and evenly without pulling or binding. Where applicable, check the dead-man brake or travel control disconnect device for proper operation.

14. Gauges/Meters. Where applicable, inspect the following:

a. Warning Indicators. With the engine running at normal operating temperature, check the oil pressure gauge for normal operating pressure. If any warning indicator lights signal a malfunction, the MHE shall be rejected until repaired.

b. Coolant Temperature Gauge. With the engine running at normal operating temperature, check that the gauge is indicating within the proper indicating range.

c. Fuel Gauge. Check the fuel gauge for proper reading. On types Liquefied Petroleum (LP) and

Compressed Natural-gas (CN) MHE, the mechanical-type fuel gauge may be mounted directly on the gas tank. Dual-fueled MHE shall not be operated unless the gasoline fuel tank is at least 1/4 full.

d. Voltmeter/Ammeter gauge. With the engine running, check the voltmeter/ammeter to verify that it’s in the green range when the engine is running at least 550 rpm.

e. Hour meter. Verify that the hour meter is registering while the engine is running.

f. Weight Scales. With forks elevated, and no load, verify that the weight scales read zero.

Adjust accordingly.

15. Fire Extinguisher. When equipped, visually inspect the extinguisher cylinder for dents. Check that the gauge is registering in the green (if so equipped) and check that the wire seal has not been broken.

Verify periodic checks are current. Check nozzle and hose for defects. Reject extinguisher if not serviceable.

16. Operator Restraint System. If MHE is equipped with an operator restraint system (e.g., seat belt) it shall be inspected to verify that they fully extend out, can be properly secured, and fully retract back.

Additionally, they shall not exhibit any evidence of the following discrepancies: (a) nicks or cuts, (b) frayed webbing, (c) holes, and (d) broken or worn retractor.

17. Forks. Visually examine the forks for surface cracks, including under the heel of the forks. Verify that blade and shank are straight, properly installed, and fork tips are even. Verify that load ratings of forks match MHE load rating. Surface cracks appearing on the forks shall be cause for rejection until forks are repaired or replaced.

18. Fork Positioning Locks/Stops. Verify the fork positioning locks/stops secure each fork in position.

Verify forks are securely engaged to the carriage.

19. Fork Safety Chains. Verify the presence and operation of fork safety chains (equipped on units with folding forks) and associated locking pins.

20. Overhead Guards. Visually Inspect all hardware. Verify that overhead guard and hardware are in place and all structural members appear to be or are secured.

21. Ground Straps or Static Conductive Tires/Wheels. For rated EE type MHE, verify the presence of two ground straps and that they touch the floor/deck or two conductive tires/wheels. For rated EX type

MHE, verify the presence of two conductive tires/wheels.

22. Structural Cracks/dents or damage. Visually inspect readily accessible areas of the forklift for structural cracks, dents, damage, or defects. Reject MHE until repaired or replaced.

23. Mandatory Markings. Verify the following is clearly and properly marked: (a) safe working load

(SWL) and vehicle weight (VW) on both sides, and except for pallet trucks, in view of operator, (b) operator controls, (c) manufacturer’s nameplate/label, (d) accredited laboratory (UL, FM) certification, and (e) for ammunition and explosives handling only, the weight test certification form.

Reject if any marking is missing, illegible, expired or incorrect. All other required markings that are

ACCEPTABLE ____ / UNACCEPTABLE ____

COR/TPOC (Print and Sign) Date Contractor (Print and Sign) Date

Hour Meter Reading:
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