Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Checklist Criteria:

  • Inspection Items to be done daily. Check off all items that are functioning correctly.

  • Parking Brake

  • Moving Brake Test

  • Oil levels acceptable

  • Clutch & gearshift moves smoothly

  • Hoses free of kinks

  • Dash lit and all gauges operational

  • Steering moves smoothly

  • Forks rises to top

  • Forks lowered to ground

  • Tilt mechanism moves without difficuty

  • Cylinders and hoses not leaking

  • Tires in good condition

  • All lights working

  • Electrolyte levels acceptable in battery (if applicable)

Supervisor Notification:

  • If any of the above inspection items are not in a satisfactory condition, indicate in the observation area below what the deficiencies are, take photos, and immediately report them to your supervisor.

Condition:

  • Please note any damage to this equipment:

  • Photo(s) of Damage:

Observations:

  • Notes:

  • Photos:

Signatures:

  • Operator Signature:

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