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LIFTING PLANT INSPECTION, TEST &
VERIFICATION RECORD
Page 1 of 1 Form # HSEQ - LPITVR (Rev 1 - Mar 23)
Project Information
Project Name: Model No:
Vehicle: Manufacture Name:
Company Name: Serial No:
Plate No: Date:
INSPECTION, TEST & VERIFICATION RECORD
Sr. Verification Yes No N/A Comments
1. Lifting Plan
2. Risk Assessment
3. Training Document
4. Lifting tackle
5. Operator
6. Vehicle Regulation Document
7. 3rd
Party Inspection Records
8. Internal Inspection Records
Attach operator pre-use safety check
9. Repair & Maintenance Records
10. Tire Pressures
Vehicle specific checks dependent upon type
Tilt/ inclinometer Indicator  Other Specific………………………………………………………………………………… 
Load Indicator With load  Other Specific………………………………………………………………………………… 
Fork T Lock  Other Specific………………………………………………………………………………… 
Audio Load or Tilt alarm  Other Specific………………………………………………………………………………… 
PERMIT TO RETURN TO WORK
This Vehicle has been Inspected, tested and document verified in accordance with the above and any other aspects
specific to the type
Authorized Party Name Signature Date
Plant Department:
HSE Department:

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