VERSION G PAGE 2 OF 2
Annual Inspecon Report
MODEL: SERIAL:
P F C
P F C
P F C
P F C
HYDRAULIC SYSTEM
DEALER: OWNER / END USER:
Ensure stability pads at base of unit (adjacent to caster wheels) are intact, properly secured and have
not sustained any damage
Ensure the electronic brake operates properly.
GENERAL
Ensure paint is in good condi and that there are not any issues with the overall appearance of the
task support vehicle.
Grease and lubricate the mast channel per maintenance manual.
Ensure baery level is correct (if applicable).
Visually inspect motors to ensure there is no damage.
Ensure baery charger scrolls t
hrough dia
gnoscs when plugged in.
Ensure all electrical connec are ght, free of frays and corrosion.
Ensure baery meets weight and voltage requirements.
Ensure level is correct in hydraulic tank.
Ensure hydraulic pump is secure and undamaged, operates properly and is free of leaks.
Ensure hydraulic control valve is secure and undamaged, operates properly and is free of leaks.
Ensure hydraulic oil breather/vented cap is clean, hydraulic tank cap is ght and vent is open.
POWER and DRIVE SYSTEM
The undersigned cees that this machine has been inspected, per each area of inspec and any and all discrepancies have been
brought to the enon of the Owner / User, and that all discrepancies have been corrected prior to any further use of this machine.
Inspect front and rear load trays for funconality and damage.
MANUALS - DECALS - DATA PLATE
DATE:
OWNER / USER
SIGNATURE:
OWNER / USER
PRINTED NAME: DATE:
DEALER
SIGNATURE:
DEALER
PRINTED NAME:
Ensure ANSI/ SIA A92.6 manual of responsibilies, opera manual and service manual are in weather
resistant pouch on vehicle.
Ensure data plate is in place, secured and legible
Ensure all instrucon and safety decals are installed, secure and legible.
ADD
ITIONAL COMMENTS
Li cylinder is free of damage, no evidence of leaks and that all hardware is secure and undamaged.
All hydraulic hoses, gs and components are properly secured and that there is no evidence of leaks.
VEHICLE INFORMATION:
MAST SIZE: HOUR METER:
Ensure oponal equipment such as anchor point, tether, full body harness and tow hitch are in good
condi and fully funconal (if applicable).
Inspect overall structural condi including welds.
Verify that no unauthorized ca or addi have been made.
Ensure drive, load and caster wheels are properly installed, secure and do not have excessive wear.
En
sure all e wheels have contact with the oor.
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