Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Pallet Truck ID Number

Load Wheels

  • Roll smoothly, free from banding, tape or string

  • Surface has no debris i.e screws, stones embedded

  • No splits in tyre

  • No signs of cracks or damage

Steer Wheels

  • Roll smoothly, free from banding, tape or string

  • Surface has no debris i.e screws, stones embedded

  • No splits in tyre

  • No signs of cracks or damage

Handle

  • Secure, bolts not loose or missing

  • Pumps smoothly

Lift Action

  • Truck lifts to its fullest height

Trigger

  • Operates correctly, does not stick

  • Lowers under control

Brakes (if applicable)

  • Engage and release without sticking

General Condition

  • No cracks in frame

  • No signs of oil leakage

Signed

  • Add signature

  • Select date

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