"Lift Truck Operator's Daily/Weekly Inspection Report Form"

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LIFT TRUCK OPERATOR’S DAILY/WEEKLY INSPECTION REPORT
INTERNAL COMBUSTION LIFT TRUCKS
HOUR METER READING
OPERATOR’S NAME ___________________________________________________ (START OF WEEK) _____________
UNIT NO. _____________________________________________________________ SERIAL NUMBER _____________
SHIFT 1 _____ 2 _____ 3 _____
SPECIAL ATTACHMENTS ___________________
IMPORTANT!
This check must be made by the truck operator daily at the start of the shift.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Daily Inspection Check List for
Needs
Needs
Needs
Needs
Needs
Needs
Needs
OK
OK
OK
OK
OK
OK
OK
Week Beginning ____________ , 20_______
Attn.
Attn.
Attn.
Attn.
Attn.
Attn.
Attn.
1. Engine Oil –
Check level.(When oil must be added, show number
Of quarts in “need attn.” Column.)
2. Fuel System –
Check for leaks. (Report any leaks immediately.)
3. Radiator –
Check coolant level. (Caution.)
4. Tires –
Check for foreign particles, gouges and cuts; check
pneumatic tire pressure.
5. Mast, Carriage, Fork or Attachment –
Check for loose or missing bots and damage; check
Chain; check adjustment and operation.
6. Oil and Water –
Check for leaks.
7. Truck Damage –
Explain in remarks section.
8. Operator’s Compartment –
Inspect for cleanliness.
9. Engine Oil Gauge –
Check pressure. (Report any abnormal pressure
Reading.)
10. Fuel –
Check level.
11. Ammeter –
Check charging rate (Report unusual readings.)
12. Safety Equipment (Rotating lights,
Back-up alarms, etc.) –
Check operation.
13. Steering –
Check operation.
14. Brakes –
Check brake pedal travel and parking brake
Adjustment.
15. Truck Operation –
Report any unusual operation or noises.
REMARKS: __________________________________________________________________________________________
____________________________________________________________________________________________________
_______________________________________________________
___________________________________________
(Operator’s Signature)
(Date)
WEEKLY CHECK
OK
Needs Attn.
OK
Needs Attn.
1. Clean Air Cleaner*
________
__________
5. Oil Lines for Leaks
_______
__________
2. Hydraulic Oil Level
________
__________
6. Battery Compartment and
Electrolyte Level
_______
__________
3. Oil Clutch Level
________
__________
7. Power Steering Oil level
_______
__________
4. Transmission Oil Level
________
__________
8. Lift Chain Adjustment
_______
__________
*Where operating conditions require in accordance with agreement.
REMARKS: __________________________________________________________________________________________
____________________________________________________________________________________________________
________________________________________________________
__________________________________________
(Operator’s Signature)
(Date)
LIFT TRUCK OPERATOR’S DAILY/WEEKLY INSPECTION REPORT
INTERNAL COMBUSTION LIFT TRUCKS
HOUR METER READING
OPERATOR’S NAME ___________________________________________________ (START OF WEEK) _____________
UNIT NO. _____________________________________________________________ SERIAL NUMBER _____________
SHIFT 1 _____ 2 _____ 3 _____
SPECIAL ATTACHMENTS ___________________
IMPORTANT!
This check must be made by the truck operator daily at the start of the shift.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Daily Inspection Check List for
Needs
Needs
Needs
Needs
Needs
Needs
Needs
OK
OK
OK
OK
OK
OK
OK
Week Beginning ____________ , 20_______
Attn.
Attn.
Attn.
Attn.
Attn.
Attn.
Attn.
1. Engine Oil –
Check level.(When oil must be added, show number
Of quarts in “need attn.” Column.)
2. Fuel System –
Check for leaks. (Report any leaks immediately.)
3. Radiator –
Check coolant level. (Caution.)
4. Tires –
Check for foreign particles, gouges and cuts; check
pneumatic tire pressure.
5. Mast, Carriage, Fork or Attachment –
Check for loose or missing bots and damage; check
Chain; check adjustment and operation.
6. Oil and Water –
Check for leaks.
7. Truck Damage –
Explain in remarks section.
8. Operator’s Compartment –
Inspect for cleanliness.
9. Engine Oil Gauge –
Check pressure. (Report any abnormal pressure
Reading.)
10. Fuel –
Check level.
11. Ammeter –
Check charging rate (Report unusual readings.)
12. Safety Equipment (Rotating lights,
Back-up alarms, etc.) –
Check operation.
13. Steering –
Check operation.
14. Brakes –
Check brake pedal travel and parking brake
Adjustment.
15. Truck Operation –
Report any unusual operation or noises.
REMARKS: __________________________________________________________________________________________
____________________________________________________________________________________________________
_______________________________________________________
___________________________________________
(Operator’s Signature)
(Date)
WEEKLY CHECK
OK
Needs Attn.
OK
Needs Attn.
1. Clean Air Cleaner*
________
__________
5. Oil Lines for Leaks
_______
__________
2. Hydraulic Oil Level
________
__________
6. Battery Compartment and
Electrolyte Level
_______
__________
3. Oil Clutch Level
________
__________
7. Power Steering Oil level
_______
__________
4. Transmission Oil Level
________
__________
8. Lift Chain Adjustment
_______
__________
*Where operating conditions require in accordance with agreement.
REMARKS: __________________________________________________________________________________________
____________________________________________________________________________________________________
________________________________________________________
__________________________________________
(Operator’s Signature)
(Date)