Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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FLT Reference number
FLT Check for defects
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Fork Arm
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Capacity/ carriage Plates are fitted & legible
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Back Rest Extension
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Mast
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Mast Rollers & Slides
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Lift Chains
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Chain Pulleys
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Wheels
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Tyres
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External Condition inc mirrors and overhead guard
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Operating Position
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Operators Seat
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Starting Procedure (Electric)
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Lights (Driving & Flashing)
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Audible Warning (Horn etc)
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Steering/Brakes
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Hydraulic Fluid Levels
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Oil Levels
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Hydraulic Controls
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Batteries/Water Level
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Charger & Charger Leads (No visible damage)
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Gas connection- hose, regulator (No visible damage)
Sign Off
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Name and signature of inspector
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The person signing this check sheet confirms that the FLT has been inspected before use and has reported any defects to their supervisor