Title Page

  • Conducted on

  • Prepared by

  • Location
  • Unit #

Visual Checks

  • Damage (Bent, Dented or Broken Parts)

  • Leaks (Drive Unit, Brakes, Hydraulics)

  • Tires & Wheels (Drive Wheels, Steer Wheels, Load Wheels, Casters, etc.)

  • Forks (Secure, Not Bent, Cracked or Badly Worn)

  • Chains, Cables & Hoses (In Place)

  • Battery (Battery Cable and Connection Condition)

  • Guards (All Guards in Place and Condition)

  • Mechanical Safety Devices (Safety Shield, Entry Bar, Operator Harness, Warning Labels, etc. In good Condition)

  • Operator Compartment/Controls (All Conditions, Steer Tiller, Pedals, etc. in Good Condition)

Operational Checks

  • Power Up (Turn on Key, All Indicator Lights & Alarms Working)

  • Power Disconnect (Cuts off All Electric Power)

  • Electrical Safety Devices (Horn, Audible Signals, Entry Bar, Flashing Lights, Indicator Lights, etc. Work Properly)

  • Steering (No Binding, No Excessive Play)

  • Brakes and Travel Controls (Check Braking, and Plugging Distances, Acceleration Smooth)

  • Parking Brake (Seat, Hand, or Foot)

  • Hydraulic Controls (Test all Hydraulic Functions for Smooth and Proper Operation and no Unusual Noise)

  • Attachments (Function Properly, No Unusual Noise, Securely in Place)

  • Limit Switches (Travel Limit, Lift Limit, Tilt Limit, etc.)

  • Battery Discharge (Discharge Meter in Full Green or 75% Charge after Raising Forks)

  • Wire Guidance (Acquisition, Tracking, Brakes Set, Alarm Works)

  • End Aisle Control (Alarm, Beep and Truck Slows Down or Stops at Programmed Aisle End)

  • Hour Meter Reading

  • Operators Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.