New Inspection Certificate
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Equipment
Checklist
Deficiencies & Notes
Attachments
Review & Submit
Client Name
Contact Person
Contact Phone
Location
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Inspection Date
Issue Date
Next Inspection Date
Certificate Number
Job Order Number
Sticker Number
DWS Number
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Equipment Name
Select equipment
FORKLIFT TRUCK
CRANE
Capacity
Select capacity
3 TONS
5 TONS
7 TONS
Manufacturer
Select manufacturer
HELI
TCM
CAT
Model
Select model
CPCD70
CPCD50
CPCD30
Equipment Serial Number
Equipment ID Number
Manufacturing Date
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Safety & Site Preparation
Barricades and warning signs in place
Pass
Fail
N/A
Access restricted to authorized personnel
Pass
Fail
N/A
JSA / Risk Assessment conducted
Pass
Fail
N/A
Hazards identified and controlled
Pass
Fail
N/A
Level, clean ground (no oil, debris, obstacles)
Pass
Fail
N/A
Adequate lighting and ventilation
Pass
Fail
N/A
PPE Compliance (Helmet, safety shoes, gloves, goggles, high-vis vest)
Pass
Fail
N/A
Engine off, key removed
Pass
Fail
N/A
Lockout/Tagout (LOTO) applied
Pass
Fail
N/A
Energy sources isolated & hydraulic pressure released
Pass
Fail
N/A
Parking brake engaged
Pass
Fail
N/A
Fire extinguisher & first aid available
Pass
Fail
N/A
Safety briefing conducted
Pass
Fail
N/A
Tools and checklist ready
Pass
Fail
N/A
Documentation & Compliance
Operator manual available
Pass
Fail
N/A
Maintenance records up to date
Pass
Fail
N/A
Previous inspection certificates
Pass
Fail
N/A
Load test certificate (if required)
Pass
Fail
N/A
Operator training records (03rd Party)
Pass
Fail
N/A
Compliance with local regulations (ISO/BS/ASME/SASO)
Pass
Fail
N/A
Safety labels legible
Pass
Fail
N/A
Visual Structural Inspection
Chassis/frame condition (cracks, deformation, corrosion)
Pass
Fail
N/A
Overhead guard condition
Pass
Fail
N/A
Forks (cracks, bending, wear ≤10%)
Pass
Fail
N/A
Mast structure & welds
Pass
Fail
N/A
Carriage condition
Pass
Fail
N/A
Counterweight secure
Pass
Fail
N/A
Mast & Lifting System
Chains (wear, lubrication, tension)
Pass
Fail
N/A
Rollers and guides
Pass
Fail
N/A
Smooth lifting/lowering
Pass
Fail
N/A
Tilt function
Pass
Fail
N/A
Hydraulic cylinders (leaks/damage)
Pass
Fail
N/A
Hydraulic System
Hoses condition (no leaks/cracks)
Pass
Fail
N/A
Pump operation
Pass
Fail
N/A
Fluid level/condition
Pass
Fail
N/A
Valve response
Pass
Fail
N/A
Power System
Fuel Type (Diesel/LPG/Elec.)
Pass
Fail
N/A
Engine condition
Pass
Fail
N/A
Fuel system leaks
Pass
Fail
N/A
Exhaust system
Pass
Fail
N/A
Cooling system
Pass
Fail
N/A
Electric
Pass
Fail
N/A
Battery condition & charge
Pass
Fail
N/A
Operating Hours
Pass
Fail
N/A
Cables/connectors
Pass
Fail
N/A
Charger function
Pass
Fail
N/A
Transmission & Brakes
Transmission operation
Pass
Fail
N/A
Drive axle condition
Pass
Fail
N/A
Service brake performance
Pass
Fail
N/A
Parking brake effectiveness
Pass
Fail
N/A
Steering System
Steering free play
Pass
Fail
N/A
Smooth operation
Pass
Fail
N/A
No leaks or abnormal noise
Pass
Fail
N/A
Wheels & Tires
Tire wear/damage
Pass
Fail
N/A
Correct type
Pass
Fail
N/A
Wheel nuts tight
Pass
Fail
N/A
Rim condition
Pass
Fail
N/A
Electrical system lights functioning
Pass
Fail
N/A
Horn working
Pass
Fail
N/A
Reverse alarm
Pass
Fail
N/A
Wiring condition
Pass
Fail
N/A
Battery isolation switch
Pass
Fail
N/A
Safety Features
Seat belt
Pass
Fail
N/A
Operator seat condition
Pass
Fail
N/A
Emergency stop
Pass
Fail
N/A
Fire extinguisher
Pass
Fail
N/A
Mirrors/visibility
Pass
Fail
N/A
Load backrest
Pass
Fail
N/A
Warning systems
Pass
Fail
N/A
Functional Test
Start/stop operation
Pass
Fail
N/A
Lifting & lowering
Pass
Fail
N/A
Steering response
Pass
Fail
N/A
Braking performance
Pass
Fail
N/A
Noise/vibration
Pass
Fail
N/A
Load Test (If required)
Rated load test
Pass
Fail
N/A
Stability check
Pass
Fail
N/A
No hydraulic drift
Pass
Fail
N/A
Acceptable fork deflection
Pass
Fail
N/A
Non-Destructive Testing (NDT) (If required)
NDT performed on critical components (forks, mast, carriage, welds) using suitable methods (e.g., Magnetic Particle Testing (MT) / Dye Penetrant Testing (PT)).
Pass
Fail
N/A
Results acceptable (no cracks/defects), inspection conducted by certified personnel per ASNT.
Pass
Fail
N/A
Final Assessment
Pass / Fail / Conditional
Pass
Fail
N/A
Defects list
Pass
Fail
N/A
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Deficiencies
Add Deficiency
Notes
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Attachments
Upload Images
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Tested Load (kg)
Final Result
Select final result
Accepted
Rejected
Inspector Name
Select inspector
John Doe
Jane Smith
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