Forklift Boom Pre-Use Checklist PhoneThis field is for validation purposes and should be left unchanged.Operator Initials(Required)Shift(Required) First Shift Second Shift Department(Required)Select Dept.FacilitiesWalther MfgI.T.Shipping & ReceivingEngineeringContractorDocumentation Manufacturer’s ID plate is present and legible (capacity, model, serial number). Load rating is clearly marked and not exceeded for intended lift. Operator has reviewed manufacturer’s instructions. Select AllStructural Condition Boom structure free of cracks, dents, bends, or deformities. Welds intact with no visible cracks or separation. No signs of excessive corrosion, rust, or pitting. Pocket openings are free of distortion or damage. Select AllHook & Hardware Swivel hook rotates freely without binding. Hook throat opening is within manufacturer’s tolerance (not stretched). Safety latch is present, functional, and closes fully. Hook and pin are free from cracks, wear, or gouges. Retaining hardware, bolts, and pins secure with no missing parts. Select AllBoom Pivoting Mechanism Pivoting function operates smoothly without excessive play. Locking pins or securing devices are in place and functional. Grease fittings/lubrication points in operational state. Forklift Connection Fork pockets clean, unobstructed, and free of sharp edges. Pocket size matches forklift forks used. Restraining (safety chain, pins, or clamps) secure boom to forklift Select AllLabels & Safety All warning labels present and legible. “Do Not Exceed Capacity” markings visible. No unauthorized modifications or repairs observed. Select AllOperational Safety Test lift performed with no unusual movement, shifting, or instability. Load path is clear of obstructions. Load will remain within forklift’s rated capacity (including boom weight of 420 lbs). Select AllIs there any: New Damage, Maintenance, or Repair Needed?(Required) Yes No Describe any Damage, Maintenance, Repair, or Replacement Needed(Required)
