Weekly Lift Truck Pre-Use Check Sheet

Week Number :
Motive Power :

Elec

Lift Truck Model :

Lift Truck Make :

Gas LPG
Diesel
Mon

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
21
22
23
24
25

Item Check
Capacity Plate
Fork Arms
Carriage Plate
Backrest Extension
Mast
Mast Rollers & Slides
Lift Chains
Chain Pulleys
Hydraulic Pipes
Hydraulic Cylinders
Wheels
Tyres
Lights
Exhaust
Overhead Guard
External Condition
Gas Bottle
Battery
Operating Position
Operators Seat
Starting Procedure
Seat Belt
Lights
Audible Warnings
Hydraulic Controls
Foot/Hand Brakes
Steering

Checks to Make
Is it present?
Cracks / Level / Pins / Tips / Heels
Distortion / Worn / Stop Bolts
Distortion / Welds / Security
Distortion / Straightness
Foreign Bodies
Slack? / Pins / Lubrication
Excessive Wear
Couplings / Leaks / Worn
Leaks / Condition
Wheel Nut Security
Worn Tred / Chunks Missing
Condition
Condition
Security
Overall Condition
Secure and Connected
Bad Smell / Condition
Clear of Obstructions
Security
Warning Lights/Charged
Present/Working Order
Working Order
Horn/Reverse Siren - Working
Working Order
Working Order
Working Order

Working Department :
Tues
Wed

Thurs

Fleet No . :
Fri

Supervisor Name :
Sat

Sun

Good Defect Good Defect Good Defect Good Defect Good Defect Good Defect Good Defect

Operator Signature :
Supervisor Signature :
NOTE: Manufacturers operators handbook must be consulted for a full inspection checklist
Designed by Paul Hennessey for Adapt (UK) Training Services Limited. For further copies of this form please visit www.lifttrucktraining.co.uk

Date Reported