Title Page

  • Conducted on:

  • Name and Signature:

  • Position of Inspecting Person

Covid-19

  • Has this MHE been cleaned prior to the inspection?

MHE Pre-Op Checks

  • MHE Details:

  • MHE number:

FORKS / ATTACHMENTS

  • Cracks/Damage

  • Load Guard

  • Capacity Plate Visible

  • Foot Plate Mat

WHEELS

  • Damage

AUDIABLE DEVICES

  • Horn

HYDRAULICS

  • Lift

  • Lower

  • Leaks

DRIVING

  • Steering Gear

  • Brake

  • Folding Arms

  • Foot Plate

Is This PPT Safe to Use?

  • MHE number:

FORKS AND ATTACHMENTS

  • Cracks / Damage

  • Load Guard

  • Capacity Plate Visible

  • Bull Horns

  • Foot Plate Mat

WHEELS

  • Damage

AUDIABLE DEVICES

  • Horn

HYDRAULICS

  • Lift

  • Lower

  • Leaks

DRIVING

  • Steering Gear

  • Brake

  • Foot Plate

Is This LLOP Safe to Use?

  • MHE number:

  • Hour Meter Value:

ELECTRICS

  • Mains Off

  • Charger Off

  • Disconnect Leads

  • Electrolyte Levels

  • Condition of Battery

  • Condition of Battery Retention Device

FORKS / ATTACHMENTS

  • Cracks / Damage

  • Fork Arms

  • Carriage

  • Fork Positioning Locks

  • Adjustment Pins

  • Mast. Rollers & Sliders

  • Lift Chains & Pulleys

  • Capacity Plate Visible

TYRES / WHEELS

  • Condition of Tyres

  • Wheels & Nuts

FLUIDS

  • Water

LIGHTS

  • Front Lights

  • Brake Lights

  • Flashing Beacon

AUDIABLE DEVICES

  • Horn

  • Reversing Bleeper

HYDRAULICS

  • Lift

  • Lower

  • Tilt

  • Sideshift

  • Leaks

DRIVING

  • Operators Seat / Position

  • Steering Gear

  • Mirrors

  • Service Brakes

  • Parking Brakes

  • Operator Restraint

  • Overhead Guard / Load Back-Rest Extension

Is This Counterbalance Safe to Use?

  • Hour Meter Value:

GAS Trucks

  • Condition of Gas Valve & Supply Line

  • Gas Tank Securing Strap

  • Condition of Gas Tank

FORKS / ATTACHEMENTS

  • Cracks / Damage

  • Fork Arms

  • Carriage

  • Fork Positioning Locks

  • Adjustment Pins

  • Load Guard

  • Mast. Rollers & Sliders

  • Lift Chains & Pulleys

  • Capacity Plate Visible

TYRES / WHEELS

  • Condition of Tyres

  • Wheels & Nuts

FLUIDS

  • Fuel

  • Water

LIGHTS

  • Front Lights

  • Brake Lights

  • Flashing Beacon

AUDIABLE DEVICES

  • Horn

  • Reversing Bleeper

HYDRAULICS

  • Lift

  • Lower

  • Tilt

  • Sideshift

  • Leaks

DRIVING

  • Operators Seat / Position

  • Steering Gear

  • Mirrors

  • Service Brakes

  • Parking Brake

  • Operator Restraint

  • Overhead Guard / Load Back-Rest Extension

Is This Counterbalance Safe to Use?

  • MHE Number:

FORKS / ATTACHMENTS

  • Cracks / Damage

  • Load Guard

  • Capacity Plate Visible

  • Bull Horns

  • Foot Plate Mat

WHEELS

  • Damage

AUDIABLE DEVICES

  • Horn

HYDRAULICS

  • Lift

  • Lower

  • Leaks

DRIVING

  • Steering Gear

  • Brake

  • Foot Plate

Is This DLLOP Safe to Use?

  • MHE number:

  • Hour Meter Value:

ELECTRICS

  • Electrolyte Levels

  • Condition of Battery

  • Condition of Battery Retention Device

FORKS / ATTACHEMENTS

  • Cracks / Damage

  • Fork Arms

  • Carriage

  • Fork Positioning Locks

  • Adjustment Pins

  • Load Guard

  • Mast, Rollers & Sliders

  • Lift Chains & Pulleys

  • Capacity Plate Visible

TYRES / WHEELS

  • Condition of Tyres

  • Wheels & Nuts

AUDIABLE DEVICES

  • Horn

HYDRAULICS

  • Lift

  • Lower

  • Tilt

  • Sideshift

  • Leaks

DRIVING

  • Operators Seat / Position

  • Steering Gear

  • Service Brake

  • Parking Brake

  • Overhead Guard / Load Back-Rest Extension

Is This High-Reach Truck Safe to Use?

  • MHE number:

FORKS / ATTACHEMENTS

  • Cracks / Damage

  • Load Guard

  • Capacity Plate Visible

WHEELS

  • Damage

AUDIABLE DEVICES

  • Horn

HYDRAULICS

  • Lift

  • Lower

  • Leaks

DRIVING

  • Steering Gear

  • Brake

Is This Walk Behind Safe to Use?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.