DAILY PRE-OPERATIONAL CHECKLIFT FOR FORK LIFTS
MONTH:
FORK LIFT # ______
INSTRUCTIONS: Please record hour meter daily. Please place check marks in all inspection
rows in the date that corresponds with your inspection. Please initial that your inspection
is complete daily BEFORE operating your forklift
MAKE/MODEL #:
DAY OF THE MONTH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
HOUR METER READING/LECTURA DE CRONOMETRO
BATTERY WATER LEVEL APPROPRIATE
BATTERY IS SECURED
TIRE CONDITION VISUAL GOOD
LIGHTS FUNCTIONING
SERVICE BRAKES
PARKING BRAKE
HORN FUNCTIONAL
BACK UP ALARM WORKING
HYDRAULIC CONTROLS
NO FLUID LEAKING
SLIP SHEETER ATTACHMENT NO LEAKS
PHYSICAL DAMAGE BODY,FORKS,MAST
ANY MISSING OR LOOSE PARTS/BOLTS
OPERATOR INITIALS
PORFAVOR ANOTE CUALQUIER PROBLEMA QUE NECESITE ATENCION Y REPORTAR A SU SUPERVISOR DE INMEDIATO.