Powered Industrial Truck (PIT) Safety Audit Form

This checklist is designed to ensure the safe operation of powered industrial trucks (PITs) and to comply with safety regulations. Complete this checklist at the beginning of each shift [1].

Instructions:

• Complete each item on the checklist.
• Mark each item as either PASS or FAIL.
• If an item fails, record the corrective action taken.
• Ensure all defects are corrected before placing the vehicle in service [1].

I. General Equipment Checks

• Operating Manual: Available in the truck and readable.
• Fire Extinguisher: Present, charged, and readily accessible [2].
• Guards and Covers: All covers and guards are securely attached and free from damage 5, 19.
• Cleanliness: The truck is clean and free of scattered debris, and spilled lubricant and oil [3].

Corrective Action:

II. Safety Features

• Seat Belt: Present, functional, and in good condition (not worn or frayed). Replace within three years of installation or five years of manufacture 3, 6, 7, 8, 11.
• Seat Belt Mounting: Mounting hardware is not damaged or loose [3].
• Horn: Operational and audible 9, 10.
• Lights and Reflectors: Functioning properly, if equipped and necessary 10, 19.
• Mirrors: Clean and adjusted for maximum visibility 5, 9, 19.
• Backup Alarm: (If equipped) Operational and audible [4].

Corrective Action:

III. Mechanical Checks

• Steering Mechanism: Operates smoothly and correctly [1].
• Brakes: Service, parking, and emergency brakes function correctly [1].
• Tires: In safe operating condition, free of apparent damage [1].
• Hydraulic System: No visible leaks in the tank, cylinder rod seals, hoses, tubes, plugs, connections, and fittings 5, 19.
• Neutral Start Switch: Prevents the machine from moving when the engine starts [5].

Corrective Action:

IV. Fuel and Electrical Systems

• Fuel/Energy Source: Sufficiently charged/filled for the shift.
• Battery Connections: Clean and secure [6].
• Wiring Harness: Wiring harness connections are clean and secure [6].
• No Flammable Materials: No leaves, wooden debris, paper waste, etc. in areas of exhaust manifold, muffler, or battery [6].

Corrective Action:

V. Operational Area

• Clearance: Adequate clearance for operation, including overhead [4].
• Barricades: Set up barricades to prevent unauthorized personnel from entering the working site [4].
• Floors: Floors are free of obstructions, holes, and slippery conditions.

Corrective Action:

VI. Personal Protective Equipment (PPE)

• Seat Belt: Operator wears a seat belt at all times during operation 4, 6, 7, 8.
• Appropriate PPE: Operator wears required PPE (safety shoes, high-visibility vest, eye protection, etc.).

Corrective Action:

VII. Pre-Operation Procedures

• Warning Tags: Check for and understand any warning tags displayed on the equipment [4].
• Operator Position: Only the operator is in the cab [4].

Corrective Action:

VIII. Emergency Preparedness

• Emergency Procedures: Operator is familiar with emergency shutdown procedures.
• First Aid: First aid kit is available and stocked.

Corrective Action:

Inspected by: __________________________________

Date: __________________________________

Supervisor Review: __________________________________