Information
-
Date
-
Call No.
-
Customer
-
Make
-
Model
-
Equipment No.
-
Hours
-
Technician
Visual
-
Over head Guard
-
Mast
-
Capacity Plate & Safety Decals
-
Tires & Wheels
-
Seat & Seat Belt
-
Leaks
-
Note any bent or damaged parts
Brakes
-
Visual Inspection: All Brake Components
-
Foot and Park Brake Operation
Steering
-
Linkage, King Pins, Tie Rods, Pivot
-
Cylinder
-
Operation
Frame
-
Check all Tires, Rim, Pressures
-
Hood, Latch, Struts
-
Counter Weight Bolt
-
Dash, Floor Board, Coverings
Electrical
-
Dash, Display, Switches
-
Battery
-
Lights and Alarms
-
Wiring, Connections, Cables
Power Train
-
Clean Rad
-
Engine System
-
Transmission
-
Differential
-
Fuel System
-
Cooling System
Mast and Hydraulics
-
Inspect Forks
-
Load Back Rest
-
Mast Channels and Rollers
-
Carriage
-
Inspect Lift Chains
-
Pivot
-
Attachment
-
Cylinders
-
Hoses
Operational Check and Test Drive
-
Seat Switch
-
Test Drive and Functional Test
-
Lighting
-
Fire Extinguisher
-
Operators Manual
-
Horn
-
Clean Unit and Work Area
Fluid Levels
-
Greased & Lubed
-
Engine Oil
-
Coolant
-
Trans Oil
-
Diff Oil
-
Brake Oil
-
Hydraulic Oil
CSA Annual Inspection
-
Unit Passes Inspection
-
Next Annual Inspection Due
-
Comments
-
Add signature
