Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • FLT Serial Number

  • FLT Type

Are the Following Serviceable and in working condition?

  • Wheels

  • Tires

  • External Body

  • Controls

  • Seat & Restraint

  • Indicators

  • Running Lights

  • Beacon

  • Audible Devices

  • Brakes

  • Steering

  • Windows/Wipers

  • Forks & Pins

  • Load Backrest

  • Mast

  • Mast Rollers

  • Limit Switches

  • Hydraulic System

  • General Lubrication

  • Fuel Level

  • Brake Fluid

  • Oil Level

  • Coolant

  • Mirrors/Visibility

  • Overhead Guard

Signature

  • Signed

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