TPM - Manual Pallet Truck

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Daily

• Inspect load wheels & axles (not loose and no debris)

  Pass

  Fail

  N/A

• Test Lift / lower handle

  Pass

  Fail

  N/A

• Check for worn handle pins

  Pass

  Fail

  N/A

• Check for hydraulic pump leaks

  Pass

  Fail

  N/A

• Inspect steer wheels & ales (not loose and no debris)

  Pass

  Fail

  N/A

• Check for worn pull rod linkage

  Pass

  Fail

  N/A

6-Monthly

• Statutory Testing under LOLER

  Yes

  No

  N/A

Signature

• Operator / Inspector

  Sign

• Additional Operator / Inspector

  Sign