Information
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Date & Time
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Equipment Number (Scan)
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Load capacity of truck (Lbs)
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VISUAL INSPECTION
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Battery gates in place and in good condition
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Battery vent caps, connector covers and cables in place and in good condition
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Battery water levels checked and filled if needed
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Overhead guard in place and in good condition
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Forks/attachments and mast in good condition
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Chains, hoses and rollers in good condition
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Wheels and tires in good condition
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Fork locking pins in place and in good condition
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No fluid leaks on or around the machine
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All Safety warning decals and signage in place and legible
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Load Capacity Label in good condition
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Fire extinguisher in place and sufficiently charged
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Operator's Manual in place and in good condition
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OPERATIONAL INSPECTION
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Lift/Lower functions as intended
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Tilt /Sideshift functions as intended
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Clamp expands and closes fully and properly
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Reach extends and retracts fully and properly
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Battery Meter/display functioning
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No unusual noises emanating from machine during operation
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All horns functioning
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Steering controls function as intended
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Head lights and warning lights function as intended
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Seat belt in good condition
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Emergency stop functions as intended
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Plugging/Braking functions as intended
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Back-up alarm functions as intended
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(Walkie) Tiller arm returns to upright position
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All buttons, levers pedals return to neutral when used
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Other Remarks
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Upon submission, you are signing this document electronically. You agree that this inspection was completed properly, in full and that any issues were reported directly to your Supervisor.
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Operator Name and Signature
