Title Page

  • Conducted on

  • Prepared by

  • Location

Item Check

  • Capacity Plate - Is it Present / Condition?

  • Fork Arms - Cracks/ Level/ Tips / Heels

  • Carriage Plate - Worn / Cracks / Stop Bolts

  • Backrest Extension - Worn / Cracks / Stop Bolts

  • Mast Rollers & Slides - Cracks/ Broken/ Straightness

  • Lift Chains - Slack/ Links/ Lubrication

  • Chain Pulleys - Excessive Wear / Links

  • Hydraulic Pipes - Couplings / Worn/ Leaks

  • Hydraulic Cylinders - Leaks / Condition

  • Hydraulic Controls - Smooth Working Order

  • Tyres/ Wheels - Tread / Chunks Missing/ Nuts

  • Lights & Gauges - Condition / Working

  • Overhead Guard - Cracks / Welding / Crease

  • External Condition - Overall Condition

  • Gas Bottle - Secure / Connected/ Leaks/ Date

  • Battery - Smell / Corrosion / Condition

  • Operators Seat & Belt - Secure/ Working/ Frayed

  • Leaks - Wetness under Forklift/Pipes

  • Foot/Hand Brakes - Working Order/ Condition

  • Steering - Working Smoothly

  • Fuel Levels - Oil/ Water/ Hydraulic/ Gas

  • Warning Devices - Reversing Beeper / Horn/ Light

Weekly Hours

  • Hours

Remarks

  • Operator Fault Remarks

Sign Off

  • Operator's Name and Signature

  • Supervisor's Name and Signature

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