Operators must complete this checklist prior to operating any powered pallet jack. Only persons who are trained and authorized may inspect and operate this equipment.
If an item is defective indicate a NO and give detail in the COMMENTS section below. If an item is OK and no problem is detected indicate a YES. Return this completed checklist to you supervisor.
Motor Off Inspection
Fluid leaks on floor below vehicle
Check for missing and loose parts (bolts, guards, etc.)
Check for physical damage (control handle, body, forks, mast, etc.)
Hand guards: attached
Tires/wheels: condition & pressure
Check for modifications and additions that can affect safe operation
Check cleanliness of vehicle
Safety warnings: attached and legible
Capacity plate: attached & legible
Operator’s manual in container
Motor On Inspection
Hour meter: functional
Battery discharge indicator: functional
Lights and alarms: functional
Steering operation: functional
Drive operations: forward and reverse
Load-handling, up and down operation: functional
IF THE POWERED PALLET JACK FAILS ANY PART OF THIS INSPECTION, REMOVE THE KEY AND REPORT THE PROBLEM TO YOUR SUPERVISOR. DO NOT ATTEMPT TO MAKE REPAIRS UNLESS YOU ARE A TRAINED AND AUTHORIZED SERVICE PERSON.
By signing below, I certify that the equipment has passed all pre-use inspection checklist items and no defects or deficiencies were identified.
Click here to sign
Source: MaintainX (Community Member)