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Certainly! Here's a simple and effective **Powered Industrial Truck (PIT) Safety Audit Form** that you can use to evaluate safety compliance in your workplace: --- # Powered Industrial Truck (PIT) Safety Audit Form **Location:** ______________________________________ **Date:** ___________________________________________ **Auditor Name:** ____________________________________ --- ## Section 1: Pre-Operational Inspection | Item | Yes | No | N/A | Comments/Notes | |-------|-------|-------|-------|----------------| | Visible damage or leaks on truck | ☐ | ☐ | ☐ | | | Forks free of cracks/bends | ☐ | ☐ | ☐ | | | Tires/wheels in good condition | ☐ | ☐ | ☐ | | | Safety devices (horn, lights, alarms, mirrors) functioning | ☐ | ☐ | ☐ | | | Brakes, steering, horn operational | ☐ | ☐ | ☐ | | | Mast and lift chains in good condition | ☐ | ☐ | ☐ | | | Fluid levels checked (hydraulic, oil, coolant) | ☐ | ☐ | ☐ | | | Seatbelt present and functional | ☐ | ☐ | ☐ | | | Warning labels and capacity plates legible | ☐ | ☐ | ☐ | | --- ## Section 2: Operational Safety | Item | Yes | No | N/A | Comments/Notes | |-------|-------|-------|-------|----------------| | Area clear of obstacles/pedestrians | ☐ | ☐ | ☐ | | | Load within capacity limits | ☐ | ☐ | ☐ | | | Proper load securing and lifting | ☐ | ☐ | ☐ | | | Warning signals used when approaching pedestrians | ☐ | ☐ | ☐ | | | Safe operating speed maintained | ☐ | ☐ | ☐ | | | Safe distance from other vehicles/structures | ☐ | ☐ | ☐ | | --- ## Section 3: Post-Operation & Maintenance | Item | Yes | No | N/A | Comments/Notes | |-------|-------|-------|-------|----------------| | Truck properly parked and forks lowered | ☐ | ☐ | ☐ | | | Engine turned off and key removed | ☐ | ☐ | ☐ | | | Visual inspection for new damage | ☐ | ☐ | ☐ | | | Maintenance performed regularly | ☐ | ☐ | ☐ | | | Repairs documented and authorized | ☐ | ☐ | ☐ | | --- ## Additional Observations / Recommendations: __________________________________________________________ __________________________________________________________ __________________________________________________________ --- **Auditor Signature:** ____________________________ **Date:** ____________________________ --- Would you like this form in a downloadable document format (Word/PDF), or customized further for specific types of trucks or operations?

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Published by SALUS

The provided PIT (Powered Industrial Truck) Safety Audit Form is a great start for evaluating workplace safety compliance. To improve it and ensure it aligns with Texas and OSHA standards, consider the following:

  • Pre-Operational Inspection:
  • Ensure that the daily inspection includes checking the steering mechanism, coupling devices, seat belts, operating controls, and safety devices [1]. All defects must be corrected before the vehicle is placed in service [1].
  • Verify that warning labels and capacity plates are legible [1].
  • Operational Safety:
  • Confirm that the operator is the only person in the cab [2].
  • Check that no one is on, under, and around the machine and that all personnel are clear of the machine and surrounding area [2].
  • Set up barricades to prevent unauthorized personnel and/or machines from entering the working site [2].
  • Adjust mirrors for maximum visibility around the machine [2].
  • Check that the horn and the travel alarm (if equipped) function properly [2].
  • Post-Operation & Maintenance:
  • Always lower the attachment, pull the control lock lever up, stop the engine, and remove the key before performing maintenance 15, 16, 17, 18.
  • Use a temporary "DO NOT OPERATE" hang tag to communicate that the machine is out of service 15, 16, 17, 18.
  • Ensure that the machine is clean and free of scattered debris, and spilled lubricant and oil [3].

I can provide the form in a downloadable format or customize it further for specific trucks or operations if needed.

3 source record(s)

Sources used for this answer

[1] Kobelco SK330-10, SK250LC-10 Operation Manual

Page 42

Open source document

Source excerpt

[ ## 1.2.7 INSPECTION AND MAINTENANCE ON THE MACHINE ## PRE-START INSPECTION Always perform a pre-startup inspection before operating this machine to check for any potential issues. For more information, refer to the maintenance section of this manual. ## ATTACH A "DO NOT OPERATE" TAG To prevent serious injury or death, never allow unauthorized personnel to start the engine or touch the control levers during inspection and maintenance activities. Always lower the attachment, pull the pilot control shut-off lever up, stop the engine, and remove the key before performing maintenance. Use a temporary hang tag to communicate that the machine is out of service. You many need to use more than one temporary hang tag depending on the inspection and maintenance activities to be performed. ## ALWAYS KEEP THE MACHINE CLEAN Always keep the machine clean and free of scattered debris, and spilled lubricant and oil. If electrical components or systems get wet, then equipment malfunction, short circuit, or fire may result in serious injury or death. Never use pressurized water or steam to clean inside the operator cab or any electrical components, such as sensors and connectors. <!-- image --> <!-- image --> ## KEEP INSIDE OF OPERATOR CAB CLEAN - · To prevent slippery pedals, always remove mud, grease, oil, and other substances from the soles of your shoes before entering the cab. - · Secure parts and tools inside the cab before operating. - · Do not use your mobile phone, listen to the radio, or use headphones during machine travel or operation. To prevent fire: - · Do not bring explosive or combustible materials into the cab. - · Do not leave your cigarette lighter inside the cab. If the cab temperature becomes too hot, the lighter may explode. - · After smoking, always put out your cigarette and shut the ashtray lid. - · Do not leave plastic bottles inside the cab or attach suction cups to the windows. These items may act as lenses and could start a fire. ## SEA

[2] Kobelco SK330-10, SK250LC-10 Operation Manual

Page 44

Open source document

Source excerpt

[ ## 1.4 PRECAUTIONS FOR OPERATION ## 1.4.1 STARTING ## CHECK A "DO NOT OPERATE" TAG Before starting the engine, check display of warning tags. If warning tags are displayed, do not start the engine. The warning tags are used to notify that the machine is in an inoperable condition. Report this situation to a supervisor of the machine and do not start the engine until the warning tags are removed. <!-- image --> ## ONLY THE OPERATOR IS ALLOWED IN THE CAB The operator is the only person that should be on or near the machine and in the cab. Do not allow any other personnel to be present in the cab or on the machine. ## CHECK WORKING SITE AND SET UP BARRICADES To prevent serious injury, death and property damage, before you start the engine and before you move the machine: - · Check that no one is on, under, and around the machine. Make sure that all personnel are clear of the machine and surrounding area. - · Check there are no other machines or obstacles in the area surrounding the machine. - · Set up barricades to prevent unauthorized personnel and / or machines from entering the working site. ## PRE-OPERATION SAFETY CHECK To prevent serious injury or death, before operating: - · Close and lock the doors and windows. The window guard may not prevent flying debris from striking the operator inside the cab. - · Adjust mirrors for maximum visibility around the machine. See "ADJUSTMENT OF MIRRORS" in Chapter 3 for additional information. - · Check the horn and the travel alarm (if equipped) function properly. <!-- image -->

[3] Safety and Health Regulations for Construction (OSHA)

Page 90

Open source document

Source excerpt

## 29 CFR 1926 (OSHA) - (9) Seat belts and anchorages meeting the requirements of 49 CFR part 571 (Department of Transportation, Federal Motor Vehicle Safety Standards) shall be installed in all motor vehicles. - (10) Trucks with dump bodies shall be equipped with positive means of support, permanently attached, and capable of being locked in position to prevent accidental lowering of the body while maintenance or inspection work is being done. - (11) Operating levers controlling hoisting or dumping devices on haulage bodies shall be equipped with a latch or other device which will prevent accidental starting or tripping of the mechanism. - (12) Trip handles for tailgates of dump trucks shall be so arranged that, in dumping, the operator will be in the clear. - (13) (i) All rubber-tired motor vehicle equipment manufactured on or after May 1, 1972, shall be equipped with fenders. All rubber-tired motor vehicle equipment manufactured before May 1, 1972, shall be equipped with fenders not later than May 1, 1973. - (ii) Mud flaps may be used in lieu of fenders whenever motor vehicle equipment is not designed for fenders. - (14) All vehicles in use shall be checked at the beginning of each shift to assure that the following parts, equipment, and accessories are in safe operating condition and free of apparent damage that could cause failure while in use: service brakes, including trailer brake connections; parking system (hand brake); emergency stopping system (brakes); tires; horn; steering mechanism; coupling devices; seat belts; operating controls; and safety devices. All defects shall be corrected before the vehicle is placed in service. These requirements also apply to equipment such as lights, reflectors, windshield wipers, defrosters, fire extinguishers, etc., where such equipment is necessary.

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