Title Page

  • Site conducted

  • Conducted on

Checklist

  • Have you checked the Fork arms?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Carriage plate?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please provide picture of issue

  • Please state issue below

  • Have you checked the Mast?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Mast roller/sliders?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Lift chain and pulleys?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Hydraulics?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Have you checked the Tyres/Wheels?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Operating position?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Operators seat?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Parking/Service break?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Horn?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Have you checked the Operating controls?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Lights?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Optical warnings?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Hydraulic Controls?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Have you checked the Breakes?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Have you checked the Steering?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Have you checked the External Condition?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

  • Has the battery fluid been topped up/checked?

  • Any issues or remarks to be reported?

  • Please state issue below

  • Please take clear photos of the issue

  • Please state reason why this was not completed below

  • Have you checked for any unusual noise?

  • Please state the reason why this was not checked

  • Are there any issues to report?

  • Please state issue below

  • Please provide picture of issue

Sign Off

Operators sign off

  • Were there any issues to be reported?

  • Please report all issues to a supervisor immediately

  • Please state who the issue were reported to

  • Is the forklift fit for operation?

Operator Signature

  • Operator Sign off

  • Date and Time of Operators sign off

Supervisor Sign off

  • Supervisor Sign Off

  • Date and Time of Sign off

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