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Ref HM/MY06PH3/HSE/FRM/030
HUASHI (MALAYSIA) SDN BHD Rev. No. 0
FORKLIFT INSPECTION Issued Date 28 November 2022

CHECKLIST Page No. Page 1 of 2

MY06PH3 PROJECT BUTTERFLY
DESIGN AND BUILD CSA MAIN CONTRACT FOR THE DETAILED DESIGN, AUTHORITY SUBMISSIONS,SUPPLY, DELIVERY, INSTALLATION, TESTING AND COMMISSIONING, OBTAIN
CERTIFICATE OF COMPLETION & COMPLIANCE, SUPPORT DURING DEFECTS LIABILITY PERIOD AND MAINTENANCE OF PROJECT BUTTERFLY 03 - A NEW 40MW IT, GREENFIELD
CENTRE (PHASE 3) FOR BRIDGE DATA CENTRE MALAYSIA III SDN BHD ON HS (D) 78142 PTD 32674

REG. NO. DATE INSPECTION

TYPE MODEL
YEAR INSPECTED BY:

GENERAL APPEARANCE GOOD FAIR REPAIR COMMENTS

1 Horn
2 Tires – Condition, Type
 Right Front
 Right Rear
 Left Front
 Left Rear
3 Lights
4 Battery
5 Controls and gear shifts
Lift system (includes load limit switches, load
6
engagement means, chains, cables, forks, etc.)
7 Brake and radiator fluid level
8 Steering
9 Hydraulic system
10 Fuel system
11 Overhead guards
12 Gauges
13 Capacity plates attached
14 Seat belt
15 Engine oil
16 Transmission fluid
Name plates, labels, and markings (in place and
17
maintained in legible condition)
18 Exhaust system (for sparks, flames)
19 Operator’s Manual
20 Fire Extinguisher

Comments:

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Inspected by Acknowledge by Result

SIGNATURE : SIGNATURE : Acceptable
NAME : NAME : Acceptable with comments
DATE : DATE : Not Acceptable

 Competent person will inspect, operate and maintain any machinery/tools requiring certificate