Powered Mobile Equipment: Forklift Hazard Assessment & Control Form

After you identify actual and potential forklift hazards (Click here for a Model Forklift Hazard Identification Form),   you need to assess them to determine the measures in place to deal with them, the need for additional measures and the priority for implementing those measures.

 

Forklift Hazard Assessment & Control Form

Company:                                                                                                Date:                                                        

Location:                                                                                                  Completed by:                                     

 

Instructions: Complete this form to record how each identified hazard associated with forklift operations at the work site were assessed, prioritized and addressed via implementation of appropriate engineering controls, work/administrative controls and/or PPE.

 

IDENTIFIED HAZARDS & CONTROLS
Description of Hazard Controls Already in Place Additional Controls Needed
Engineering Work/Admin PPE Engineering Work/Admin PPE
FOLLOW-UP
Description of Control Priority to Implement Assigned to/Implementation Date
High Medium Low