FLT Pre-Shift Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• Russ Green DVSA ADI Blue Car SoM 0114 2507663 07958 580308 russgreenemail@gmail.com

Vehicle Details

• Vehicle Make Model & Identifiers

Pre-Start Checks

• Initial Visual Walk-Round

  No Problems Spotted

  Minor Problem(s) Spotted - See Checklist

  Major Problem(s) Spotted - See Checklist

• Forks

  Safe

  At Risk

  N/A

• Other Attachments

  Safe

  At Risk

  N/A

• Mast

  Safe

  At Risk

  N/A

• Last Rollers / Sliders

  Safe

  At Risk

  N/A

• Lift Chains / Pulleys

  Safe

  At Risk

  N/A

• Hydraulics

  Safe

  At Risk

  N/A

• Wheels & Tyres

  Safe

  At Risk

  N/A

• External Condition / Bodywork

  Safe

  At Risk

  N/A

• Oil Levels

  Safe

  At Risk

  N/A

• Coolant / Water

  Safe

  At Risk

  N/A

• Controls

  Safe

  At Risk

  N/A

• Plate

  Yes

  No

  N/A

• Seat and Restraints

  Safe

  At Risk

  N/A

Vehicle Running

• Fuel Level

  Select Full 3/4 1/2 1/4 Less than 1/4 Empty

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Less than 1/4
  • Empty

• Warning Indicators

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Flashing Beacon

  Yes

  No

  N/A

• Horn

  Safe

  At Risk

  N/A

• Reversing Tone

  Yes

  No

  N/A

• Hydraulics Test - Unladen

  Safe

  At Risk

  N/A

• Acceleration

  Safe

  At Risk

  N/A

• Braking

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

Summary

• Vehicle Safe to be Used?

  No Problems Spotted

  Minor Problem(s) Spotted - See Checklist

  Major Problem(s) Spotted - See Checklist

• Signed

  Sign