Forklift Daily Inspection Checklist
Choose Truck for Inspection
*
Please Select
Medbio Truck #1
Medbio Truck #2
MedBio Truck #3
Medbio Truck #4
Medbio Truck #5
Medbio Truck #6
Medbio Truck #7
Medbio Truck #8
Shift
*
Please Select
1st Shift
2nd Shift
3rd Shift
Will the truck be in use?
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In Use
Not in Use
1. Fluid leaks on floor
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
2. Condition of wheels (gouge, loose pieces, excessive/uneven wear)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
3. Condition and security of forks (worn or bent)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
4. Condition of load backrest (properly attached, not loose, missing bolts)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
5. Condition of mast and lift chains (uneven chain tension, hardware, damage)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
6. Hydraulic hoses and couplings (active leaks or excessive wear)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
7. Horn (weak, not functioning)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
8. Condition of all lights & indicators (working, no loose or exposed wires)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
9. Condition of Steering (loose, unresponsive)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
10. Condition of all functions and controls (lift, reach, side shift, pedals)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
11. Condition of battery (properly seated, holding charge, watered)
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Safe For Use
Not Safe
Safe For Use BUT Requires Maintenance
Inspection Comments/Alerts
I confirm that all non-compliant sections have been appropriately tagged and that all concerns (needing further maintenance) have been reported
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Yes
Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Signature
*
Take Photo
Submit
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