5M0011 Preventive Maintenance Check List

• Site conducted

  Select

• 5M0011

• Conducted on

  Date

• Prepared by

• Check the condition of tires for any peeling, cracks or sliding off the rim. Check wheel mount bolts/nuts. Notify the truck shop if any issues exist.

• Front Wheels

  Good

  Fair

  Poor

  N/A

• Rear Wheels

  Good

  Fair

  Poor

  N/A

• Check the back-up alarm, strobe light, blue lights, horn, and working lights for proper operation. If any are inoperable notify the truck shop.

• Back Up Alarm

  Compliant

  Non-Compliant

  N/A

• Strobe Light

  Compliant

  Non-Compliant

  N/A

• Working Lights

  Compliant

  Non-Compliant

  N/A

• Horn

  Compliant

  Non-Compliant

  N/A

• Blow foreign material out of radiator with approved air nozzle once a week.

  Yes

  No

  N/A

Inspect truck for hydraulic oil leaks also look on ground for evidence of hydraulic oil. If a leak s found or hydraulic oil on the ground notify Fork Truck Repair

• Any leaks found or hydraulic oil on ground. Mark fail if hydraulic oil found.

  Pass

  Fail

  N/A

Visual inspection by walking around the manip and identify any damage.

• Was there any damage identified during your visual inspection? If fail notify your supervisor and truck shop.

  Pass

  Fail

  N/A