Forklift Loading Risk Assessment Form
Complete this assessment to identify and record risks associated with forklift loading operations.
Loading Location
*
Date and Time of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Assessor Name
*
First Name
Last Name
Forklift Operator Name
*
First Name
Last Name
Loading Task Description
*
Estimated Load Weight (kg)
*
Load Type / Pallet Condition
*
Please Select
Standard pallet - good condition
Standard pallet - damaged
Non-standard load
Bulk/loose items
Other (specify below)
Floor/Surface Condition
*
Clean and dry
Wet or slippery
Uneven or damaged
Obstructed
Other (specify below)
Hazard/Risk Observations (select all that apply)
*
Pedestrian proximity
Overhead obstructions
Limited visibility
Load instability
Equipment malfunction
No significant hazards
Other (specify below)
Overall Risk Rating / Recommendation
*
Low risk – Proceed
Moderate risk – Proceed with caution
High risk – Mitigation required before proceeding
Critical risk – Do not proceed
Submit Assessment
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