Raymond Walkie Stacker

• Site conducted

  Select

• Conducted on

  Date

• Operator

  Jeff Jacobs

  Miguel Guerrero

  Nestor Antencio

  Andrew Kriske

• Shift

  Shift 1

  Shift 2

  Shift 3

• Mark each item "OK" or "R/A" (Repair or Adjust)

V-1 Tires

• No gouges, chunking or flat spots

  OK

  R/A

• No bond failures

  OK

  R/A

• Adequate tread (if applicable)

  OK

  R/A

• Battery connector in good condition and attached correctly to truck connector

  OK

  R/A

V-2 Battery

• Fully charged/correct voltage and weight/no leakage

  OK

  R/A

• Properly installed

  OK

  R/A

• Emergency disconnect functions properly

  OK

  R/A

V-3 Lift/Lower System

• No damage to hoses or limit switches

  OK

  R/A

V-4 Controls

• No damage to hoses, chains or limit switchesMove smoothly without binding

  OK

  R/A

• Return to neutral when released

  OK

  R/A

• Lift chains in good condition and lubricated correctly

  OK

  R/A

• Hydraulic fluid level, at room temperature check reservoir level

  OK

  R/A

• Return to neutral when released; deadman pedal returns when released

  OK

  R/A

V-5 General

• Guards and covers installed and secure

  OK

  R/A

• Decals - (Warning/safety/operational) in place and legible

  OK

  R/A

• Check floor under truck for any dripping oil that might indicate a leak

  OK

  R/A

• Components/structure in good condition

  OK

  R/A

O-1 Horn

• Sounds when button is depressed

  OK

  R/A

O-2 Steering

• Smooth without bind or excess play

  OK

  R/A

O-3 Directional/Thumb Control

• Moves smoothly without binding

  OK

  R/A

• Returns to neutral when released

  OK

  R/A

• Controls speed and direction properly

  OK

  R/A

• Plugging functions properly

  OK

  R/A

• Speed limit functions properly

  OK

  R/A

O-4 Lift/Lower System

• Lift/Lower buttons move freely and return to off when released

  OK

  R/A

• All controls perform their functions as indicated

  OK

  R/A

• Lift chains are adjusted

  OK

  R/A

O-5 Emergency reverse button

• Moves lift truck away from operator when pressed. Lift truck does not move again until directional/thumb control moved through neutral.

  OK

  R/A

O-6 Hour meter

• Records hours of lift truck operation

  OK

  R/A

O-7 Brake

• Handle moves freely without binding

  OK

  R/A

• Stops lift truck in specified distance

  OK

  R/A

• Brake functions properly (Travel circuits disabled)

  OK

  R/A

O-8 Safety

• All limit switches function properly

  OK

  R/A

• All warning and working lights are functional

  OK

  R/A

• Travel and lift functions shut down when battery is disconnected

  OK

  R/A

• LiftH

• Signature

  Sign