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POWERED PALLET JACK PRE-USE INSPECTION CHECKLIST

This pre-use checklist intends to identify defects and safety hazards before operation. The main aim of a pre-start checklist inspection is to ensure that your equipment is safe to use.
MaintainX
07/21/2022

POWERED PALLET JACK PRE-USE INSPECTION CHECKLIST

28 steps
This pre-use checklist intends to identify defects and safety hazards before operation. The main aim of a pre-start checklist inspection is to ensure that your equipment is safe to use.
  • 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.

  • Make:

  • Shift:

  • Model #:

  • Hours:

  • 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

    • Yes
    • No
    • N / A
  • Check for missing and loose parts (bolts, guards, etc.)

    • Yes
    • No
    • N / A
  • Check for physical damage (control handle, body, forks, mast, etc.)

    • Yes
    • No
    • N / A
  • Hand guards: attached

    • Yes
    • No
    • N / A
  • Tires/wheels: condition & pressure

    • Yes
    • No
    • N / A
  • Forks: condition

    • Yes
    • No
    • N / A
  • Check for modifications and additions that can affect safe operation

    • Yes
    • No
    • N / A
  • Check cleanliness of vehicle

    • Yes
    • No
    • N / A
  • Safety warnings: attached and legible

    • Yes
    • No
    • N / A
  • Capacity plate: attached & legible

    • Yes
    • No
    • N / A
  • Operator’s manual in container

    • Yes
    • No
    • N / A
  • Motor On Inspection

  • Brakes: functional

    • Yes
    • No
    • N / A
  • Unusual noises

    • Yes
    • No
    • N / A
  • Horn: functional

    • Yes
    • No
    • N / A
  • Hour meter: functional

    • Yes
    • No
    • N / A
  • Battery discharge indicator: functional

    • Yes
    • No
    • N / A
  • Lights and alarms: functional

    • Yes
    • No
    • N / A
  • Steering operation: functional

    • Yes
    • No
    • N / A
  • Drive operations: forward and reverse

    • Yes
    • No
    • N / A
  • Load-handling, up and down operation: functional

    • Yes
    • No
    • N / A
  • COMMENTS:

  • 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.

  • Print Name

  • Sign

    Click here to sign
  • Date

Source: MaintainX (Community Member)

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