Operator's Daily Checklist (Sample) - UniCarriers 1F1 Operator's Manual

OPERATOR'S DAILY CHECKLIST (SAMPLE)

• 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).
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.
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
01 Forks: bent, worn, fork stops, pin/latch locks
02 Load Backrest: bent, cracked, loose, missing
03 Tires/Wheels: wear, damage, nuts tight or missing
04 Battery Connectors: cracked, loose, missing
05 Hydraulic Oil: level, dirty, leaks
06 Covers/Panels/Sheet Metal: damage, missing
07 Overhead Guard: bent, cracked, loose, missing
08 Battery: connections loose, state of charge, electrolyte level
09 Warning Decals/Operator's Manual: missing, unreadable
10 Data Plate/Capacity Plate: incorrect: unreadable, missing
11 Operator Restraint (if equipped): damage, mounting, operation, oily, dirty
12 Gauges/Instruments: damage, operation
13 Brakes: linkage loose, reservoir fluid level, leaks
14 Carriage and Attachments: damage, mounting, operation, leaks
15 Head/Tail/Working Lights: damage, mounting, operation
16 Radiator: fluid level, dirty, leaks, condition of hoses and core
17 Engine Oil: level, dirty, leaks
18 Fuel: level, dirty, leaks
Additional explanation of problems marked above:_________________________________________________________________________________________________________________________________________
!
WARNING
I.T.A. Class IV and V Operator's Daily Checklist and Safety Inspection (sample)
DO NOT OPERATE A LIFT TRUCK WITH ANY MALFUNCTION.
Visual Check Items # OK NG
18 Horn Operation: working
19 Service Brake: linkage, loose/binding ,stops OK, grab
20 Parking Brake: loose/binding, operation, adjustment
21 Seat Brake (if equipped): loose/binding, operational adjustment
22 Engine: runs rough, noisy, leaks
23 Mast: smooth lifting/lowering, smooth roller rotation, wear or damage to chains or mast rails
24 Tilt: loose/binding, excessive drift, "chatters", leaks
25 Carriage and Attachments: operation, leaks, mounting, damage
26 Control levers: loose/binding, free return to neutral position
27 Directional Control: loose/binding, find neutral position OK
28 Drive Axle: noise, leaks
29 Steering: loose/binding, leaks, operation
30 Warning Lights (if equipped): mounting, operation
31 Back-Up Alarm (if equipped): mounting, operation
32 Head/Tail/Working Lights: mounting, operation
33
34
35
91
Operational Check Items