Pursuit Daily Forklift Pre-Use Inspection Form

• What is the ID (number listed on side) for forklift?

  Yes

  No

  N/A

• Conducted on

  Date

• Prepared by

• Department

  Select

• Inspection Items to be done daily. Check off all items that are functioning correctly.

• Are forks in good condition? (not bent or cracked)

  Yes

  No

  N/A

• Tires and wheels in good condition?

  Yes

  No

  N/A

• Is parking brake holding properly?<br>

  Yes

  No

  N/A

• Fire Extinguisher located on forklift?

  Yes

  No

  N/A

• Is attachments is in good working condition?

  Yes

  No

  N/A

• Clutch & gearshift moves smoothly?

  Yes

  No

  N/A

• Hoses free of kinks?

  Yes

  No

  N/A

• Are dash lights and gauges operational?

  Yes

  No

  N/A

• Does steering wheel move smoothly?

  Yes

  No

  N/A

• Does forks raise and lower without any issues?

  Yes

  No

  N/A

• Does tilt mechanism move without difficulty?

  Yes

  No

  N/A

• Are cylinders and hoses leaking?

  Yes

  No

  N/A

• Are all lights working?

  Yes

  No

  N/A

• If any of the above inspection items are not in a satisfactory condition, indicate in box below what the deficiencies are and immediately report them to your supervisor.

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Propane

• Is propane tank secure?

  Yes

  No

  N/A

• Is propane brackets working properly?

  Yes

  No

  N/A

Electric

• Is battery leaking?

  Yes

  No

  N/A

• Is motor and battery cover intact and working properly?

  Yes

  No

  N/A

• Is battery disconnect working properly?

  Yes

  No

  N/A

• Is battery charged?

  Yes

  No

  N/A