Title Page
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Site conducted
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Conducted on
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Document Number
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Prepared by
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Model/Truck No.
- AM1
- AM2
- AM3
- AM4
- AM5
- AM6
- AM - 53334
- AM - 53333
- AM - 53330
- AM - 53332
- AM - 53331
- P-AM1
- P-AM2
- P-AM3
- P-AM4
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Drive Hour
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Shift
Safety & Operation Checks
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Overall Condition - Protective Covers, Missing Or Loose Nuts & Bolts
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Leaks - Hydraulic Oil, Brake Fluid, Battery Electrolyte
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Tyres - Cuts, Foreign Objects
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Wheels - Damage, Wheel Nuts Present & Secure (Not Hand Tight)
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Forks - Excessive Wear, Cracks, Fractures, Deformation, Equal Spacing, Locating Pins Engaged
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Load Backrest (If Fitted) - Deformation, Cracks, Securely Mounted
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Hydraulic Hoses - Wear, Damage, Leaks, Kinks, Routing
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Mast Bearings, Chains, Channels, Stops - Wear, Damage Deformation, Cracks
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Mast Chains - Equal Tension, Lubricated
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Fork Carriage - Excessive Wear, Damage, Deformation, Cracks
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Overhead Guard - Damage, Cracks, Securely Mounted
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Safety Warnings - Attached
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Battery - Connections Secure, Cell Damage, Leaks, Electrolyte Level, Leads
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Operators Compartment Capacity Plate Attached - Information Matches Model, Serial Number Attachments
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Seat Belt, Buckle and Retractor - Cuts In Belt, Functioning Smoothly
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Seat - Anchored Securely, Runners Operating Freely, No Objects Underneath
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Electrical Connections/Terminals - Securely Connected, Undamaged
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Motors - Unusual Noises, Smells
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Accelerator - Functioning Smoothly in Forward & Reverse
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Park Brake & Service Brake - Functioning
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Steering Operation - Functioning Smoothly in Both Directions, Excessive Freedom/Stiffness
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Drive Control - Forward/Reverse - Functioning Smoothly
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Hydraulic Controls - Forward/Back Smooth Operation Through Full Travel
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Horn, Lights, Reversing Bleeper & Flashing Beacon - Functioning Normally
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Rear View Mirror - Securely Attached, Clean, In Good Condition
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Dash Display Module/Hour Meter - Functioning
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Warning LIghts - Functioning/Extinguished
Signature:
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