Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Signature

  • Location
  • Forklift Manufacturer and model: SMV 16-1200B
    Forklift Serial Number: M7426

Engine Hours

  • Document Engine Hours

Areas Assessed

  • Overall Cleanliness

  • Fuel

  • Water

  • Oil (engine)

  • Oil (hydraulic)

  • Battery

  • Tyres

  • Cab (Loose items etc.)

  • Windows (Visibility)

  • Brakes (Parking)

  • Throttle

  • Horn

  • Lights

  • Mirrors

  • Steering

  • Rams (front and rear)

  • Mast

  • Chain

  • Hoses

  • Carriage

  • Forks

  • Attachments

Defects Log

  • Detailed defects description(s)

  • Action Taken

  • Team Leader Sign Off

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