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Pre-Shift Equipment Inspection Checklist
Take equipment out of service if safety would be compromised.
Tag Equipment
Pre-Shift Equipment Inspection Checklist
Project Name/Number
Lift Truck Number or Serial Number
Date
Equipment Make/Model
Operator Name
Engine
Engine Oil
Repair Needed
Not Applicable
Hydraulic Oil
Good
Repair Needed
Not Applicable
Wires
Good
Repair Needed
Not Applicable
Fuel Line
Good
Repair Needed
Not Applicable
Components
Fuel Level
Good
Repair Needed
Not Applicable
Fuel - LPG Tank
Good
Repair Needed
Not Applicable
LPG Tank Straps
Good
Repair Needed
Not Applicable
Gauges, Temperature
Good
Repair Needed
Not Applicable
Gauges, Hour Meter
Option 1
Good
Repair Needed
Not Applicable
Gauges, Speed
Good
Repair Needed
Not Applicable
Gauges, Battery
Good
Repair Needed
Not Applicable
Battery
Good
Repair Needed
Not Applicable
Belts
Good
Repair Needed
Not Applicable
Brake Fluid
Good
Repair Needed
Not Applicable
Grease Fittings
Good
Repair Needed
Not Applicable
Lubricate Units
Good
Repair Needed
Not Applicable
Hydraulic Fluid Level
Good
Repair Needed
Not Applicable
Hydraulic Lines
Good
Repair Needed
Not Applicable
Radiator Level
Good
Repair Needed
Not Applicable
Scrubber
Good
Repair Needed
Not Applicable
Transmission Level
Good
Repair Needed
Not Applicable
Body
Annual Inspection
Good
Repair Needed
Not Applicable
Lights, Head
Good
Repair Needed
Not Applicable
Lights, Tail
Good
Repair Needed
Not Applicable
Lights, Signal
Good
Repair Needed
Not Applicable
Lights, Strobe
Good
Repair Needed
Not Applicable
Lights, Warning
Good
Repair Needed
Not Applicable
Fire Extinguisher
Good
Repair Needed
Not Applicable
Glass/Windows
Good
Repair Needed
Not Applicable
Mirrors
Good
Repair Needed
Not Applicable
Swing/Counterweight Stickers
Good
Repair Needed
Not Applicable
Lifting Capacity
Good
Repair Needed
Not Applicable
Roll Over Protection (ROPS)
Good
Repair Needed
Not Applicable
Boom Angle Indicator
Good
Repair Needed
Not Applicable
Quick Coupler Stickers
Good
Repair Needed
Not Applicable
Operational
Annual Inspection
Good
Repair Needed
Not Applicable
Horn
Good
Repair Needed
Not Applicable
Back-up Warning Device
Good
Repair Needed
Not Applicable
Steering
Good
Repair Needed
Not Applicable
Gas Pedal
Good
Repair Needed
Not Applicable
Parking Brake
Good
Repair Needed
Not Applicable
Service Brake
Good
Repair Needed
Not Applicable
Gear Shift Lever
Good
Repair Needed
Not Applicable
Seat / Seat Belt
Good
Repair Needed
Not Applicable
Tire Condition
Good
Repair Needed
Not Applicable
Track Condition
Good
Repair Needed
Not Applicable
Quick Coupler
Good
Repair Needed
Not Applicable
Manual / Maintenance
Good
Repair Needed
Not Applicable
Mast Lift Up
Good
Repair Needed
Not Applicable
Mast Lift Down
Good
Repair Needed
Not Applicable
Mast Lift
Good
Repair Needed
Not Applicable
Mast Side / Squeeze
Good
Repair Needed
Not Applicable
Hose Reel
Good
Repair Needed
Not Applicable
All Terrain
Boom - Up
Good
Repair Needed
Not Applicable
Boom - Down
Good
Repair Needed
Not Applicable
Boom - Extend
Good
Repair Needed
Not Applicable
Boom - Retract
Good
Repair Needed
Not Applicable
Fork Tilt - Forward
Good
Repair Needed
Not Applicable
Fork Tilt - Reverse
Good
Reapir Needed
Not Applicable
Frame Level - Left
Good
Repair Needed
Not Applicable
Frame Level - Right
Good
Repair Needed
Not Applicable
Carriage Tilt - Left
Good
Repair Needed
Not Applicable
Carriage Tilt - Right
Good
Repair Needed
Not Applicable
Drive - Forward
Good
Repair Needed
Not Applicable
Drive - Reverse
Good
Repair Needed
Not Applicable
Fork Side Shift - Left
Good
Repair Needed
Not Applicable
Fork Side Shift - Right
Good
Repair Needed
Not Applicable
Outriggers - Up
Good
Repair Needed
Not Applicable
Outriggers - Down
Good
Repair Needed
Not Applicable
Emergency Stop(s)
Good
Repair Needed
Not Applicable
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All Rights Reserved | Peabody Insurance
(810) 629-1504
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