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OPERATOR'S DAILY CHECKLIST (SAMPLE)
WARNING
!
• Carry out the daily checks as per “Daily Inspection” in this Operator’s Manual on page 73 and the applicable provisions of laws and regulations of your country (In U.S. OSHA 29CFR1910.178).
I.T.A. Class IV and V Operator’s Daily Checklist and Safety Inspection (sample)
Check each of the following items before the start of each shift. Notify your supervisor and/or maintenance department if there are any problems with the lift truck.
DO NOT OPERATE A LIFT TRUCK WITH ANY MALFUNCTION.
LIFT TRUCK DETAILS:
GAS LPG DUAL FUEL DIESEL Serial/Lift Truck Number:_______________ Hour Meter Reading:_________ Date of Inspection:_________ Operator:_____________ Supervisor’s OK:_____________
Please review the list below and mark each item accordingly. Please provide any additional explanation as necessary.
# OK NG Visual Check Items # OK NG Operational Check Items
01 Forks: bent, worn, fork stops, pin/latch locks 18 Horn Operation: working
02 Load Backrest: bent, cracked, loose, missing 19 Service Brake: linkage, loose/binding ,stops OK, grab
03 Tires/Wheels: wear, damage, nuts tight or missing 20 Parking Brake: loose/binding, operation, adjustment
04 Battery Connectors: cracked, loose, missing 21 Seat Brake (if equipped): loose/binding, operational adjustment
05 Hydraulic Oil: level, dirty, leaks 22 Engine: runs rough, noisy, leaks
06 Covers/Panels/Sheet Metal: damage, missing 23 Mast: smooth lifting/lowering, smooth roller rotation, wear or damage to chains or mast rails
07 Overhead Guard: bent, cracked, loose, missing 24 Tilt: loose/binding, excessive drift, “chatters”, leaks
08 Battery: connections loose, state of charge, electrolyte level 25 Carriage and Attachments: operation, leaks, mounting, damage
09 Warning Decals/Operator’s Manual: missing, unreadable 26 Control levers: loose/binding, free return to neutral position
10 Data Plate/Capacity Plate: incorrect: unreadable, missing 27 Directional Control: loose/binding, nd neutral position OK
11 Operator Restraint (if equipped): damage, mounting, operation, oily, dirty 28 Drive Axle: noise, leaks
12 Gauges/Instruments: damage, operation 29 Steering: loose/binding, leaks, operation
13 Brakes: linkage loose, reservoir uid level, leaks 30 Warning Lights (if equipped): mounting, operation
14 Carriage and Attachments: damage, mounting, operation, leaks 31 Back-Up Alarm (if equipped): mounting, operation
15 Head/Tail/Working Lights: damage, mounting, operation 32 Head/Tail/Working Lights: mounting, operation
16 Radiator: uid level, dirty, leaks, condition of hoses and core 33
17 Engine Oil: level, dirty, leaks 34
18 Fuel: level, dirty, leaks 35
Additional explanation of problems marked above:_________________________________________________________________________________________________________________________________________
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