QSHE 145 - Pedestrian Pallet Truck - Check sheet

• PPT Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Motor OFF Checks

• Is there any fluid leaks on floor below the truck?

  Yes

  No

  N/A

• What are the Tyres - Condition and Pressure

  Safe

  At Risk

  N/A

• Are the Forks in safe condition?

  Yes

  No

  N/A

• Are the Hand Guards attached

  Yes

  No

  N/A

• Are the Arms in good condition?

  Yes

  No

  N/A

• Is the Footplate in good condition?

  Yes

  No

  N/A

• Is the Capacity Plate attached and visible?

  Yes

  No

  N/A

Motor ON Checks

• Is the Service break functioning smoothly?

  Yes

  No

  N/A

• Is the Steering operation functioning smoothly?

  Yes

  No

  N/A

• Drive Control - forward/reverse working?

  Yes

  No

  N/A

• Raise and Lowering Controls working normally?

  Yes

  No

  N/A

• Horn - functioning

  Yes

  No

  N/A

• Are the Lights functioning and working correctly?

  Yes

  No

  N/A

• Battery Charge Indicator - functioning

  Yes

  No

  N/A

• Add signature

  Sign