Title Page

  • Location
  • Date

  • Serial Number

  • Hour Meter Reading

  • Completed by

  • WHEELS – What do the wheels look like? Any damages?

  • LIGHTS – If equipped with lights, are they working?

  • BATTERY CHECK – Are cables and connectors in good working order? Clean/Dry? Secure from movement? Check battery fluid level.

  • HYDRAULIC CYLINDERS - Is there leakage or damage on the lift or tilt cylinders on the mast or attachments?

  • HYDRAULIC FLUID – Check fluid level.

  • BLOW DOWN – The Powered Pallet Truck has been blown down.

  • LIFT CHAINS & ROLLERS – Is there wear, damage or kinks, signs of rust, or any sign that lubrication is required? Is there squeaking?

  • MAST ASSEMBLY – Are there broken welds, cracked or bent areas and worn or missing stops?

  • FORKS – Are they cracked, bent, worn or mismatched? Is there excessive oil or water on the forks?

  • GAUGES – Are they working properly?

  • LOAD HANDLING ATTACHMENTS – Is there hesitation when hoisting or lowering the forks? Is there excessive oil on the cylinders?

  • HORN - Does the horn work?

  • CONTROL BUTTON(S) – Mast & Carriage - raise/lower/tilt/swing. Do they work?

  • CONTROL BUTTON(S) – Lifting attachment - Proper movement?

  • CONTROL BUTTON(S) – Drive - forward/reverse - Do they work?

  • CHARGE LEVEL - Is the battery working properly? Is there a sufficient amount of charge on the truck?

  • CONTROL BUTTON(S) – Steering - left/right - Do they work?

  • EMERGENCY STOP BOTTON - Does the emergency stop button work effectively?

  • BRAKING - Is the braking system working effectively?

  • Any Issues?

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