Title Page
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Location (jobsite)
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Conducted on
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Prepared by
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Location
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Equipment Number if available
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Time of inspection
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Overall appearance of equipment
Items ?
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Forks
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Boom
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Hoist
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Mast
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Hand Rail / Steps
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Fire Extinguisher
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Hydraulic System
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Hoses
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Controls
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Suspension / Frame
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Roll Over Protection System (Cage)
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Isolation Mechanism
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Wheel Chocks / Present
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Steering Operation
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Neutral Start Switch
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Exhaust system
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Park Brake
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Service Brake
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Instrument Gauges
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Operator training Card? On jobsite?
Cab
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Headlights
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Wipers
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Seat Seatbelt / Teathers
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Horn
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Glass
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Radio
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Tail Lights
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Back Up Alarm
Fluid Levels
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Engine Oil
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Coolant
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Window Washer
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Hydraulic Oil / hoses
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Hydraulic Fluid level
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Propane
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Fuel tank /Hoses
Comments
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Anything Else Needing Reporting?
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Signature of Employee