"Industrial Lift Truck Pre-operational Inspection Checklist Template"

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I n d u s t r i a l L i f t T r u c k
P r e - O p e r a t i o n a l I n s p e c t i o n C h e c k l i s t
Dates:
Unit or Serial #:
Hours:
ο Gas
ο Diesel
ο Electric
ο LP
Make/Model:
S
RECORD DAILY INSPECTION STATUS:
= Satisfactory,
D = Deficient,
NA = Not Applicable
ITEM
M
T
W
T
F
S
S
1. Fluid Leaks
2. Fuel Level
3. Battery Condition & Fluid Level
4. Engine Oil
5. Hydraulic Oil
6. Coolant
7. Transmission
8. Mast/ Boom/Forks
9. Tilt Mechanism
10. Belts/Hoses
11. Chassis
12. Overhead Guard
13. Tire Condition & Pressure
14. Seat Belt
15. Data Plate & Load Chart
16. Gauges & Controls
17. O & M Manuals
18. Lights
19. Engine
20. Ignition & Dead Man Switch
21. Lift, Tilt, Extend
22. Transmission Operation
23. Steering
24. Service & Park Brake System
25. Warning Devices & Alarms
.
Consult operator’s manual for additional inspection items. Don’t operate lift truck until unsafe conditions are corrected
Company __________________________
Operator
Print Name
Signature
Rev 12/09
I n d u s t r i a l L i f t T r u c k
P r e - O p e r a t i o n a l I n s p e c t i o n C h e c k l i s t
Dates:
Unit or Serial #:
Hours:
ο Gas
ο Diesel
ο Electric
ο LP
Make/Model:
S
RECORD DAILY INSPECTION STATUS:
= Satisfactory,
D = Deficient,
NA = Not Applicable
ITEM
M
T
W
T
F
S
S
1. Fluid Leaks
2. Fuel Level
3. Battery Condition & Fluid Level
4. Engine Oil
5. Hydraulic Oil
6. Coolant
7. Transmission
8. Mast/ Boom/Forks
9. Tilt Mechanism
10. Belts/Hoses
11. Chassis
12. Overhead Guard
13. Tire Condition & Pressure
14. Seat Belt
15. Data Plate & Load Chart
16. Gauges & Controls
17. O & M Manuals
18. Lights
19. Engine
20. Ignition & Dead Man Switch
21. Lift, Tilt, Extend
22. Transmission Operation
23. Steering
24. Service & Park Brake System
25. Warning Devices & Alarms
.
Consult operator’s manual for additional inspection items. Don’t operate lift truck until unsafe conditions are corrected
Company __________________________
Operator
Print Name
Signature
Rev 12/09