Pre-Shift Equipment Inspection
Company
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Date
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Month
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Day
Year
Date
Time
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Project Name
Unit Name
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Hours/Mileage
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Forklift
Select all applicable items below:
Glass
Cab
Horns
Operator Manual
Seat Belt
Load Chart in Cab
Capacity Plate
Controls Functioning Properly
Gauges Functioning Properly
Back Up Alarm
Light
Heating & A/C System Functioning
Fire Extinguisher
Steering Functioning Properly
Brakes Functioning Properly
Tires
Forks/Carriage
Boom/Stick
Pins and Keepers
Angle and Indicator
Loose or Broken Parts
Engine Oil Level/Leaks
Steering Fluid
Hydraulic Lines/Leaks
Coolant Level/Leaks
Transmission Fluid Level/Leaks
Fuel Level/Leaks
Aerial Lift
Select all applicable items below:
Platforms and Guardrails
Hose and Cable Guards on Boom
Drive Motors and Brake Shields
Drive Hub
Tires and Wheels
Frame
Boom and Pivot
Lift Cylinder
Tie Rods and Linkage
Ground Control Panel
Counterweight
Engine Air Filter
Turntable and Pinion
Boom
Platform Pivots and Cylinders
Platform Control Console
Emergency Safety Switch
Extending Axles
Fire Extinguisher
Operations Manual
Power Track
Travel Alarm
Fuel Level
Engine Oil
Battery
Hydraulic Oil Level
Small Equipment
(Air Compressor, Light Tower, Welder, Generator, etc.)
Select all applicable items below:
Picking Eyes/Lifting Bail
Towing Components
Door Panels
Wheels/Tires
Raising and Lowering Components
Wheels Chocked
Outriggers
Loose or Broken Parts
All Guards in Place
Pintle Hitch, Safety Chains Latch
Lights
Leaks
Fuel Level
Engine Oil
Air Cleaner Indicator
Other
Describe "Other"
Comments
Items rechecked after extended breaks?
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Yes
No
Was supervision contacted at time of inspection for items needing immediate attention?
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Yes
No
Operator Name (First & Last)
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Supervisor Name (First & Last)
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Operator Signature
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Supervisor Signature
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