Diesel Forklifts for ABC Furniture Company

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Leaks and Levels

• Is the Engine Oil leaking?

  Yes

  No

  N/A

• What is the engine oil level?

• Is there a fuel leak?

  Yes

  No

  N/A

• What is the level of fuel?

• Is there a Radiator Coolant leak?

  Yes

  No

  N/A

• Is the coolant level appropriate?

  Yes

  No

  N/A

• Is there a Hydraulic Oil leak?

  Yes

  No

  N/A

• Is the hydraulic oil level appropriate?

  Yes

  No

  N/A

• Is there a transmission fluid leak?

  Yes

  No

  N/A

• Is the level of transmission fluid appropriate?

  Yes

  No

  N/A

• Is there a break fluid leak?

  Yes

  No

  N/A

• Is the break fluid level appropriate?

  Yes

  No

  N/A

2. Tires

• Do tires appear to be in safe condition?

  Yes

  No

  N/A

• Are tires at the appropriate pressure?

  Yes

  No

  N/A

Battery

• Is the battery charged?

  Yes

  No

  N/A

• Is the water/electrolyte level correct?

  Yes

  No

  N/A

Requirements

• Is the operator manual easily accessible?

  Yes

  No

  N/A

• Is the ANSI nameplate on the truck?

  Yes

  No

  N/A

• If so, is the nameplate legible?

  Yes

  No

  N/A

• Are all safety warnings in place?

  Yes

  No

  N/A

• Is the seat belt functioning properly?

  Yes

  No

  N/A

• Is the horn functioning?

  Yes

  No

  N/A

• Are the lights functioning properly?

  Yes

  No

  N/A

Guards

• Will loads be lifted above the head on this truck?

  Yes

  No

  N/A

• If so, is there an overhead guard on the truck?

  Yes

  No

  N/A

Mechanics

• Are all engine belts in tact?

  Yes

  No

  N/A

• Are the forks in tact and functioning correctly?

  Yes

  No

  N/A

• Is the fuel sedimentor functioning correctly?

  Yes

  No

  N/A

• Are the service brakes functioning correctly?

  Yes

  No

  N/A

• Is the parking brake functioning correctly?

  Yes

  No

  N/A

• Are the tilt controls functioning correctly?

  Yes

  No

  N/A

Are the hoist and lowering controls functioning correctly?

• Explain all results indicating a problem. Discuss how these problems will be solved.