PIT Daily Inspection Checklist (Woods)

• Operator's Name

• Date

  Date

• 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

• Type

• Hour Meter Reading

• The Machine is:

  Safe to Operate

  Locked Out

• Tire Condition

  OK

  Service Needed

  N/A

• Head/ Tail Lights

  OK

  Service Needed

  N/A

• Warning Lights

  OK

  Service Needed

  N/A

• Fire Extinguisher

  OK

  Service Needed

  N/A

• Fluid Levels: Battery, Oil, Water, Fuel, etc...

  OK

  Service Needed

  N/A

• Battery Plug Condition

  OK

  Service Needed

  N/A

• Battery Indicator

  OK

  Service Needed

  N/A

• Seat Belts/ Fall Protection

  OK

  Service Needed

  N/A

• Forks

  OK

  Service Needed

  N/A

• Mirrors

  OK

  Service Needed

  N/A

• Overhead Guard

  OK

  Service Needed

  N/A

• Other Gauges

  OK

  Service Needed

  N/A

• Fluid Leaks

  OK

  Service Needed

  N/A

• Audible Beeper

  OK

  Service Needed

  N/A

• Horn

  OK

  Service Needed

  N/A

• Steering

  OK

  Service Needed

  N/A

• Emergency Brake

  OK

  Service Needed

  N/A

• Visual Hydraulic Line Inspection- check for leaks, wear, etc.

  OK

  Service Needed

  N/A

• Hydraulic Controls

  OK

  Service Needed

  N/A

• Engine- functional

  OK

  Service Needed

  N/A

• Mast & Hydraulic Cylinders & Lines

  OK

  Service Needed

  N/A

• Attachment

  OK

  Service Needed

  N/A

• Fork Condition

  OK

  Service Needed

  N/A

• Fuel Cage/ Mount/ Straps

  OK

  Service Needed

  N/A

• Outriggers

  OK

  Service Needed

  N/A

• Integrity of Platform Railings & Chains/ Doors

  OK

  Service Needed

  N/A

• Brakes/ Clutch-Brake

  OK

  Service Needed

  N/A

Sign & Send

• Signature

  Sign

• When complete press "Preview & Export" below. Please email as PDF to Carl Granger (cgranger@woodsconstruction.com).