Safety Check Operator's Daily Checklist Check Each item Before Start of Each Shift First Name * Last Name * Email * Check one * Gas/LPG/Diesel TruckElectric Sit-downElectric Stand-upElectric Pallet Unit Number * Check each of the following items before the start of each shift. Notify your supervisor and/or maintenance department know of any problem with your equipment. DO NOT OPERATE A MALFUNCTIONING TRUCK. Please review the list below and mark each item accordingly. Please provide any additional explanation as neccessary. All the following check items are required. OK NG Visual Checks oknot-good Forks: bent, worn, stops, forklocks OK oknot-good Load Back Rest: bent, cracked, loose, missing oknot-good Tires/Wheels: wear, damage, nuts tight oknot-good Engine Oil: level, dirty, leaks oknot-good Hydraulic Oil: level, dirty, leaks oknot-good Radiator: fluid level, dirty, leaks oknot-good Fuel: level, leaks oknot-good Battery: connections loose, charging, electrolyte level oknot-good Covers/Sheet metal: damaged, missing oknot-good Overhead Guard: bent, cracked, loose, missing oknot-good Warning Decals/Operators Manual: missing not readable. oknot-good Operator Restraint: damage, mounting, operation, oily, dirty. oknot-good Data Plate: not readable, missing oknot-good Gauges/Instruments: damage, operation. oknot-good Brakes: linkage loose, reservoir fluid level, leaks oknot-good Head/Tail/Working Lights: damage, mounting, operation OK NG Operational Checks oknot-good Horn Operation oknot-good Service Brake: linkage, loose/binding, stops OK, grab oknot-good Parking Brake: loose/binding operational, adjustment. oknot-good Seat Brake (if equipped): loose/binding, operational adjustment. oknot-good Mast: Smooth lifting and lowering, smooth roller rotation, wear or damage to chains, wear or damage to mast rails. oknot-good Tilt: loose/binding, excessive drift, "chatters", leaks. oknot-good Carriage and Attachments: mounting, damaged, operation, leaks. oknot-good Control Levers: loose/binding, freely return to neutral. oknot-good Battery Test (electric trucks only): Indicator showing fully charged while holding full forward tilt. Directional Control: loose/binding, find neutral OK. oknot-good Directional Control: loose/binding, find neutral OK. oknot-good Engine: runs rough, noisy, leaks. oknot-good Steering: loose/binding, leaks, operation oknot-good Warning Lights (if equipped): mounting, operation. oknot-good Backup Alarm (if equipped) mounting, operation. Additional Explanations of problems marked above
