Newcomb and Company Telehandler Forklift Pre-Inspection Checklist

• Telehandler Forklift Pre-use Inspection Checklist

• Conducted on

  Date

• Evaluator Name

• CAT TH580B Telehandler<br>SLH00290

  Off

  On

• CAT TH350B Telehandler<br>SLd01160

  Off

  On

• Hour Meter Reading

Outside inspection

• Manufacture's operating manuals

  Yes

  No

  N/A

• Tires/ Wheels

  Good

  Fair

  Poor

  N/A

• Lights/ Strobes

  Yes

  No

  N/A

• Seat belts work properly

  Good

  Fair

  Poor

  N/A

• Is truck clean, free of excessive dirt, oil and grease?

  Good

  Fair

  Poor

  N/A

• Windshield wipers in good condition, if equipped

  Good

  Fair

  Poor

  N/A

• All name plates and markings are in place and maintained in legible condition

  Good

  Fair

  Poor

  N/A

• Overhead guards broken or damaged

  Good

  Fair

  Poor

  N/A

• Counterweight/ Counter bolts

  Good

  Fair

  Poor

  N/A

• Air filter indicator

  Good

  Fair

  Poor

  N/A

• Boom sections- damage/wear pads

  Safe

  At Risk

  N/A

• Boom Angle Indicator-free movement

  Safe

  At Risk

  N/A

• Rollover Protective Structure (ROPS)

  Safe

  At Risk

  N/A

• Frame level indicator

  Good

  Fair

  Poor

  N/A

Battery/ Batteries:

• Terminals tight

• Clean/ Dry/ Secure

Hydraulics:

• Hydraulic oil<br>

  Level

  Leaks

Fluids:

• Leaks in fuel system

  Yes

  No

  N/A

• Engine oil ok?

  Level

  Leaks

• Transmission fluid ok?

  Level

  Leaks

Engine/ Engine compartment:

• Belts/ Hoses

  Safe

  At Risk

  N/A

• Cables/ Wire

  Safe

  At Risk

  N/A

Power On Checks

• Unit start and runs properly

  Yes

  No

  N/A

• Gauges working properly

  Yes

  No

  N/A

• Warning lights/ audible alarms working properly

  Yes

  No

  N/A

• Fuel level

  Full Tank

  Half Tank

  Need Fuel

  Empty

• Controller

  Good

  Fair

  Poor

  N/A

• Horn<br>

  Good

  Fair

  Poor

  N/A

• Brakes

  Good

  Fair

  Poor

  N/A

• Steering Mechanism, Free play in steering

  Safe

  At Risk

  N/A

Functions controls:

• Boom and Carriage- raise/lower/tilt/extend/retract

  Good

  Fair

  Poor

  N/A

• Lifting attachment- proper movement

  Good

  Fair

  Poor

  N/A

• Drive- forward/reverse

  Good

  Fair

  Poor

  N/A

• Steer- left/right

  Good

  Fair

  Poor

  N/A

• Frame level

  Good

  Fair

  Poor

  N/A

• Outriggers

  Good

  Fair

  Poor

  N/A

• Forklift operator assessed as competent

  Off

  On

Report any problems found to the Warehouse Manager. Always lock/tag-out unsafe equipment.

• Comments

• Inspector's signature

  Sign