Title Page
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Conducted on
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Prepared by
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Location
Item Check
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Capacity Plate - Is it Present / Condition?
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Fork Arms - Cracks/ Level/ Tips / Heels
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Carriage Plate - Worn / Cracks / Stop Bolts
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Backrest Extension - Worn / Cracks / Stop Bolts
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Mast Rollers & Slides - Cracks/ Broken/ Straightness
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Lift Chains - Slack/ Links/ Lubrication
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Chain Pulleys - Excessive Wear / Links
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Hydraulic Pipes - Couplings / Worn/ Leaks
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Hydraulic Cylinders - Leaks / Condition
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Hydraulic Controls - Smooth Working Order
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Tyres/ Wheels - Tread / Chunks Missing/ Nuts
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Lights & Gauges - Condition / Working
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Overhead Guard - Cracks / Welding / Crease
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External Condition - Overall Condition
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Gas Bottle - Secure / Connected/ Leaks/ Date
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Battery - Smell / Corrosion / Condition
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Operators Seat & Belt - Secure/ Working/ Frayed
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Leaks - Wetness under Forklift/Pipes
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Foot/Hand Brakes - Working Order/ Condition
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Steering - Working Smoothly
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Fuel Levels - Oil/ Water/ Hydraulic/ Gas
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Warning Devices - Reversing Beeper / Horn/ Light
Weekly Hours
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Hours
Remarks
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Operator Fault Remarks
Sign Off
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Operator's Name and Signature
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Supervisor's Name and Signature