Title Page
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Operator's Name
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Date
Information
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OPERATOR MUST COMPLETE CHECKLIST AT START OF SHIFT
If service is needed, CONTACT YOUR SUPERVISOR IMMEDIATELY. Lifts in need of repair or are otherwise unsafe to operate will be locked and tagged until repairs are made. NEVER DRIVE DAMAGED OR MALFUNCTIONING EQUIPMENT. -
Lift Truck Number
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Type
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Hour Meter Reading
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The Machine is:
Visual Checks
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Tire Condition
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Head/ Tail Lights
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Warning Lights
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Fire Extinguisher
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Fluid Levels: Battery, Oil, Water, Fuel, etc...
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Battery Plug Condition
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Battery Indicator
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Seat Belts/ Fall Protection
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Forks
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Mirrors
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Overhead Guard
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Other Gauges
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Fluid Leaks
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Audible Beeper
Operation Checks
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Horn
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Steering
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Emergency Brake
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Visual Hydraulic Line Inspection- check for leaks, wear, etc.
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Hydraulic Controls
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Engine- functional
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Mast & Hydraulic Cylinders & Lines
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Attachment
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Fork Condition
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Fuel Cage/ Mount/ Straps
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Outriggers
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Integrity of Platform Railings & Chains/ Doors
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Brakes/ Clutch-Brake
Sign & Send
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Signature
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When complete press "Preview & Export" below. Please email as PDF to Carl Granger (cgranger@woodsconstruction.com).
