Title Page

  • Conducted on

  • Prepared by

Check list. If there are any Amber or Red items, then please make sure that you report these to Process Leader, Shift Leader Immediately. Also take a photograph, using this device.

  • Please Check the Battery and then select the best response from the answers below

  • Proximity Alarm Check

  • Hydraulic Fluid

  • Motor Oil

  • Forks

  • Carriage

  • Safety Glass

  • Mast Chains / Pulleys

  • Inspect Beneath the Truck

  • Wheels & Tyres

  • Lights

  • Seat Belt

  • Horn

  • Service Brake

  • Parking Brake

  • Steering

  • Transmission

  • Hazard Beacon

  • Emergency STOP

  • Door/Seat isolation Switch

  • Bodywork

  • Stillage Locations. Ensure all Stillage inspections have been completed and recorded in the HBR Location Inspection Sheets.

FLT Questions ONLY

  • Fire Extinguisher

  • Fuel Oil (Petrol/Diesel)

Photographic Page

  • Please take a photograph of the Front, Rear and both sides of the vehicle.

  • Front

  • Left Hand Side

  • Rear

  • Right Hand Side

  • Cockpit / Dashboard

Incidents during operation of vehicle

  • Collision / Damage. (Please take a photograph, using this device of the damage created by the collision and add a note of the incident).

  • OIL Leak. (Please take a photograph of the Oil Leak, using this device).

  • Screen Crack(s) (please take a photograph of the crack(s) on the device).

  • Mechanical OR Electrical Failure

  • Other issue

Sign Off

  • Signature

  • Name

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.