Counterbalance Electric Truck
Daily Check List
Date:___ / ___ /___
Hour Meter: _______
Truck #: _________
Dept.: __________
✔ = No Problem visible
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Visual Inspection
Battery - Water Level
Vent Caps
Battery Connector
Cables
Front Tire (Right)
Tilt Cylinder (Right)
Carriage
Attachment (if applicable)
Fork Locking Pins
Forks
Lift Chains & Hoses
Lift Cylinder(s)
Mast
Tilt Cylinder (Left)
Front Tire (Left)
Overhead Guard
Hydraulic Oil Level
Seat & Seatbelt
Rear Tire (Left)
Fire Extinguisher
Rear Tire (Right)
Capacity Data Plate
Operator:_______________
Charged: _______________
X = Problem is detected
✔
X
A
B
C
D
E
F
G
H
I
J
K
L
M
N
Operational Inspection
Seat Belt
Hom
Lights
Gauges
Parking Brake
Lift/Lowering Control
Tilt Control
Sideshifter (if applicable)
Forward Drive and Braking
Reverse Drive and Braking
Oil Spots on Floor
Listen for Unusual Noise
Scale Tested (if applicable)
Other
✔
X
Comments:
____________________________________________
____________________________________________
_____________________________
Caution: This is not complete list of all items which
may require attention. Operators are responsible for
ensuring that the lift truuck is in proper working
condition in accordance with the manufacturer´s
specifications.
DO NOT operate the lift truck if a problem is
detected. Report any problems to the supervisor
immediately.
Signed: _______________________________